DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Anderson, Shawn R	DOIID	645019	NAIC NPN	7839193

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	12/5/2006	7/28/2008
Inactive	Non Resident	Agent	Life	12/5/2006	7/28/2008
* 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	United World Life Insurance Company	300532	Agent - Health	12/20/2006	8/20/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	QBE First Enterprises LLC	610980	Agent - Life
Denied	QBE First Enterprises LLC	610980	Agent - Health