DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gaskamp, Shannon	DOIID	676279	NAIC NPN	1118065

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	4/3/2008	10/15/2010
Inactive	Resident	Agent	Life	4/1/2008	4/1/2011
Inactive	Resident	Agent	Casualty	3/27/2008	10/15/2010
Inactive	Resident	Agent	Property	3/27/2008	10/15/2010
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	8/21/2009	4/15/2010
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	8/21/2009	4/15/2010
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	4/25/2008	11/10/2008
Inactive	Dairyland Insurance Company	301370	Agent - Property	4/25/2008	11/10/2008
Inactive	FB Insurance Company (The)	301763	Agent - Casualty	3/27/2008	9/11/2008
Inactive	FB Insurance Company (The)	301763	Agent - Health	4/3/2008	9/11/2008
Inactive	FB Insurance Company (The)	301763	Agent - Property	3/27/2008	9/11/2008
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/28/2008	10/1/2008
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/28/2008	10/1/2008
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	3/27/2008	9/11/2008
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	4/3/2008	9/11/2008
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	3/27/2008	9/11/2008
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	10/27/2008	9/29/2010
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Life	10/27/2008	10/15/2010
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	4/3/2008	9/11/2008
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	4/1/2008	9/11/2008
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/27/2008	9/29/2010
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	10/27/2008	4/1/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health		9/11/2008
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	4/7/2008	9/11/2008
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	4/7/2008	9/11/2008
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	4/7/2008	9/11/2008