DEPARTMENT OF INSURANCE

Affiliations

Name	Greene, Shaun J	DOIID	648222	NAIC NPN	8991785

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	8/7/2023		7/31/2025
Active	Non Resident	Agent	Health	8/7/2023		7/31/2025
Inactive	Non Resident	Agent	Property	10/1/2019	7/31/2021
Inactive	Non Resident	Agent	Casualty	10/1/2019	7/31/2021
* 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	AXIS Insurance Company	301290	Agent - Health	4/25/2017	7/31/2021
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	2/14/2019	2/18/2021
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	2/14/2019	2/18/2021
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Health	10/12/2016	7/31/2021
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Life	10/12/2016	7/31/2021
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	9/5/2017	7/31/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/9/2010	7/1/2011
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/9/2010	7/1/2011
Inactive	Aspen American Insurance Company	301513	Agent - Health	2/20/2020	12/1/2020
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	2/25/2020	6/10/2020
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	6/15/2010	6/1/2011
Inactive	Companion Life Insurance Company	300191	Agent - Health	10/21/2016	11/30/2017
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	11/10/2008	7/31/2011
Inactive	Conseco Health Insurance Company	301725	Agent - Health	6/18/2007	11/11/2009
Inactive	Conseco Health Insurance Company	301725	Agent - Life	6/18/2007	11/11/2009
Inactive	Conseco Insurance Company	301202	Agent - Health	6/18/2007	10/7/2009
Inactive	Conseco Insurance Company	301202	Agent - Life	6/18/2007	10/7/2009
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/5/2010	6/1/2011
Inactive	Everest Reinsurance Company	301836	Agent - Health	10/12/2016	4/2/2021
Inactive	Federal Insurance Company	301144	Agent - Health	7/27/2017	7/31/2021
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	12/15/2010	6/29/2011
Inactive	Golden Rule Insurance Company	301943	Agent - Health	6/3/2016	4/19/2019
Inactive	Golden Rule Insurance Company	301943	Agent - Life	6/3/2016	4/19/2019
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	5/12/2017	12/6/2018
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	5/12/2017	12/6/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/5/2007	6/1/2011
Inactive	Humana Insurance Company	301104	Agent - Health	10/13/2017	6/4/2019
Inactive	Humana Insurance Company	301104	Agent - Life	10/13/2017	6/4/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/5/2007	6/1/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/5/2007	6/1/2011
Inactive	LifeShield National Insurance Company	737111	Agent - Health	9/14/2018	7/31/2021
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	12/6/2010	7/31/2011
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Health	11/30/2009	7/31/2011
Inactive	National Health Insurance Company	300554	Agent - Health	9/13/2017	7/14/2021
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	5/3/2010	7/31/2011
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	11/15/2016	7/31/2021
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	11/15/2016	7/31/2021
Inactive	North River Insurance Company (The)	301739	Agent - Health	9/18/2020	7/31/2021
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	7/8/2010	3/9/2011
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Life	3/13/2008	7/31/2011
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Health	11/30/2009	7/31/2011
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	11/16/2016	7/31/2021
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	11/16/2016	7/31/2021
Inactive	Sterling Life Insurance Company	301947	Agent - Health	10/7/2008	3/11/2010
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	12/18/2007	1/5/2010
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	12/18/2007	1/5/2010
Inactive	Unified Life Insurance Company	543169	Agent - Health	10/12/2016	12/12/2017
Inactive	United Concordia Insurance Company	903543	Agent - Health	3/31/2020	7/31/2021
Inactive	United World Life Insurance Company	300532	Agent - Health	10/17/2008	12/15/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/17/2008	7/31/2011
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	10/17/2008	7/31/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/8/2010	3/9/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	3/13/2008	7/31/2011
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	6/3/2016	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	6/3/2016	11/4/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/8/2010	3/9/2011
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/15/2010	7/18/2011
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Health	1/5/2009	10/11/2010
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Life	1/5/2009	10/11/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending	Affordable Benefit Choices, LLC	1072094	Agent - Health
Inactive	Designated Agent Company Inc.	681257	Agent - Life	9/9/2010	7/9/2011
Inactive	Designated Agent Company Inc.	681257	Agent - Health	9/9/2010	7/9/2011
Inactive	Extend Insurance Services, LLC	625753	Agent - Life	10/15/2008	7/31/2011
Inactive	Extend Insurance Services, LLC	625753	Agent - Health	10/15/2008	7/31/2011
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Life	4/23/2018	7/31/2021
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	4/23/2018	7/31/2021
Inactive	Healthinsurance.Com, LLC	1082129	Agent - Life	4/24/2020	10/23/2020
Inactive	Healthinsurance.Com, LLC	1082129	Agent - Health	4/24/2020	10/23/2020
Inactive	Healthinsurance.Com, LLC	1082129	Agent - Casualty	4/24/2020	10/23/2020
Inactive	Healthinsurance.Com, LLC	1082129	Agent - Property	4/24/2020	10/23/2020
Inactive	Healthpocket Inc	915036	Agent - Life	5/10/2016	10/23/2020
Inactive	Healthpocket Inc	915036	Agent - Health	5/10/2016	10/23/2020
Inactive	Healthpocket Inc	915036	Agent - Casualty	10/21/2019	10/23/2020
Inactive	Healthpocket Inc	915036	Agent - Property	10/21/2019	10/23/2020