DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Shriver, John Robert	DOIID	678159	NAIC NPN	9865935

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	4/10/2008	4/30/2013
Inactive	Non Resident	Agent	Life	4/10/2008	4/30/2013
* 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	ACE American Insurance Company	300625	Agent - Health	11/21/2011	4/23/2013
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	1/5/2012	10/26/2012
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	1/5/2012	10/26/2012
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	5/15/2008	4/30/2013
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	5/19/2009	10/19/2012
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	5/19/2009	10/19/2012
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	5/19/2009	10/19/2012
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	5/19/2009	10/19/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Global Contact Services	546831	Agent - Life	9/29/2011	10/26/2012
Inactive	Global Contact Services	546831	Agent - Health	9/29/2011	4/30/2013