DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Shockley, Carole Ann	DOIID	637007	NAIC NPN	8178015

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/9/2006	10/31/2008
Inactive	Non Resident	Agent	Life	8/9/2006	10/31/2008
Inactive	Non Resident	Agent	Property	8/9/2006	10/31/2008
Inactive	Non Resident	Agent	Casualty	8/9/2006	10/31/2008
* 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	American Health and Life Insurance Company	300844	Agent - Health	8/22/2006	5/14/2007
Inactive	American Health and Life Insurance Company	300844	Agent - Life	8/22/2006	5/14/2007
Inactive	Sears Life Insurance Company	300218	Agent - Health	8/22/2006	5/14/2007
Inactive	Sears Life Insurance Company	300218	Agent - Life	8/22/2006	5/14/2007
Inactive	Triton Insurance Company	300654	Agent - Casualty	8/22/2006	5/14/2007
Inactive	Triton Insurance Company	300654	Agent - Property	8/22/2006	5/14/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Citi Assurance Services, Inc	569582	Agent - Casualty	2/1/2007	5/14/2007
Inactive	Citi Assurance Services, Inc	569582	Agent - Health	2/1/2007	5/14/2007
Inactive	Citi Assurance Services, Inc	569582	Agent - Life	2/1/2007	5/14/2007
Inactive	Citi Assurance Services, Inc	569582	Agent - Property	2/1/2007	5/14/2007