DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Shavers, Matthew W	DOIID	614410	NAIC NPN	8575445

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	11/6/2006	4/1/2008
Inactive	Resident	Agent	Health	9/11/2006	4/1/2008
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Golden Rule Insurance Company	301943	Agent - Health	3/20/2008	4/1/2008
Inactive	Golden Rule Insurance Company	301943	Agent - Life	3/20/2008	4/1/2008
Inactive	Humana Insurance Company	301104	Agent - Health	5/2/2007	4/1/2008
Inactive	Humana Insurance Company	301104	Agent - Life	5/2/2007	4/1/2008
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/2/2007	4/1/2008
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/2/2007	4/1/2008
Inactive	HumanaDental Insurance Company	301457	Agent - Health	5/2/2007	4/1/2008
Inactive	HumanaDental Insurance Company	301457	Agent - Life	5/2/2007	4/1/2008
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	12/13/2006	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	12/13/2006	7/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	12/13/2006	4/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	12/13/2006	4/2/2007
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	4/2/2007	4/1/2008
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	4/2/2007	4/1/2008
Inactive	MedAmerica Insurance Company	301568	Agent - Health	2/20/2008	4/1/2008
Denied	Primerica Life Insurance Company	300970	Agent - Life

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	StoneBridge Insurance Services, Inc	398862	Agent - Life	12/13/2006	4/1/2008
Inactive	StoneBridge Insurance Services, Inc	398862	Agent - Health	12/13/2006	4/1/2008