DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Shidler, David W	DOIID	637168	NAIC NPN	6870428

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/3/2006	9/30/2010
Inactive	Non Resident	Agent	Life	8/3/2006	9/30/2010
* 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	Hartford Life and Accident Insurance Company	300878	Agent - Health	9/26/2006	9/30/2010
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	9/26/2006	9/30/2010
Inactive	New York Life Insurance Company	300431	Agent - Health	9/7/2006	12/1/2009
Inactive	New York Life Insurance Company	300431	Agent - Life	9/7/2006	12/1/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Seabury & Smith Inc	394854	Agent - Life	9/12/2006	9/30/2010
Inactive	Seabury & Smith Inc	394854	Agent - Health	9/12/2006	9/30/2010