DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Adkins, Shelly Fay	DOIID	619297	NAIC NPN	7933934

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	11/4/2005	8/31/2010
Inactive	Non Resident	Agent	Life	11/4/2005	8/31/2010
* 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	American General Life Insurance Company	301585	Agent - Health	7/23/2006	8/31/2010
Inactive	American General Life Insurance Company	301585	Agent - Life	7/23/2006	8/31/2010
Inactive	Balboa Life Insurance Company	301327	Agent - Health	11/10/2005	5/27/2009
Inactive	Balboa Life Insurance Company	301327	Agent - Life	11/10/2005	5/27/2009
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	1/5/2007	8/31/2010
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	1/5/2007	8/31/2010
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	5/31/2007	6/16/2009
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	5/31/2007	6/16/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Balboa Insurance Services Inc.	516610	Agent - Health	6/8/2007	5/27/2009
Inactive	Balboa Insurance Services Inc.	516610	Agent - Life	6/8/2007	5/27/2009
Inactive	Banc of America Insurance Services, Inc.	400875	Agent - Health	4/15/2009	6/16/2009
Inactive	Banc of America Insurance Services, Inc.	400875	Agent - Life	4/15/2009	6/16/2009
Inactive	Directnet Insurance Agency, Inc.	523020	Agent - Health	6/8/2007	9/17/2008
Inactive	Directnet Insurance Agency, Inc.	523020	Agent - Life	6/8/2007	9/17/2008