DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Underwood, Shane Thomas	DOIID	672102	NAIC NPN	10175753

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	5/20/2013	12/1/2015
Inactive	Resident	Agent	Health	5/20/2013	12/1/2015
Inactive	Resident	Agent	Limited Line Credit	1/14/2008	7/6/2009
* 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	CMFG Life Insurance Company	300929	Agent - Limited Line Credit	1/14/2008	7/6/2009
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	6/3/2013	8/26/2014
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	6/3/2013	8/26/2014
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	6/3/2013	8/26/2014
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	6/3/2013	8/26/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	KUE Federal Credit Union	636144	Agent - Limited Line Credit	1/14/2008	7/6/2009