DEPARTMENT OF INSURANCE
Affiliations
NameShively, Cynthia HDOIID687253NAIC NPN9130043
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife8/18/200810/31/2020 
InactiveNon ResidentAgentVariable Life and Variable Annuities8/18/200810/31/2020 
InactiveNon ResidentAgentHealth8/18/200810/31/2020 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican General Life Insurance Company301585Agent - Health4/13/201812/23/2019
InactiveAmerican General Life Insurance Company301585Agent - Life4/13/201812/23/2019
InactiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities4/13/201812/23/2019
InactiveBanner Life Insurance Company301696Agent - Life4/13/201810/31/2020
InactiveBrighthouse Life Insurance Company301829Agent - Life4/12/201810/31/2020
InactiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities4/12/201810/31/2020
InactiveEquitable Financial Life Insurance Company300808Agent - Life3/30/201210/23/2014
InactiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities3/30/201210/23/2014
InactiveForethought Life Insurance Company301407Agent - Health3/30/201810/31/2020
InactiveForethought Life Insurance Company301407Agent - Life3/30/201810/31/2020
InactiveForethought Life Insurance Company301407Agent - Variable Life and Variable Annuities3/30/201810/31/2020
InactiveJackson National Life Insurance Company300486Agent - Life4/20/201810/31/2020
InactiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities4/20/201810/31/2020
InactiveLincoln National Life Insurance Company (The)301382Agent - Health3/29/20128/31/2017
InactiveLincoln National Life Insurance Company (The)301382Agent - Life3/28/201810/31/2020
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities3/28/201810/31/2020
InactiveNationwide Life Insurance Company300495Agent - Health4/12/201810/31/2020
InactiveNationwide Life Insurance Company300495Agent - Life4/12/201810/31/2020
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities4/12/201810/31/2020
InactivePrincipal Life Insurance Company300129Agent - Health4/11/201810/31/2020
InactivePrincipal Life Insurance Company300129Agent - Life4/11/201810/31/2020
InactivePrincipal Life Insurance Company300129Agent - Variable Life and Variable Annuities4/11/201810/31/2020
InactivePrincipal National Life Insurance Company301926Agent - Health4/11/201810/31/2020
InactivePrincipal National Life Insurance Company301926Agent - Life4/11/201810/31/2020
InactivePrincipal National Life Insurance Company301926Agent - Variable Life and Variable Annuities4/11/201810/31/2020
InactiveProtective Life Insurance Company300638Agent - Health4/13/201811/23/2019
InactiveProtective Life Insurance Company300638Agent - Life4/13/201811/23/2019
InactiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities4/13/201811/23/2019
InactivePruco Life Insurance Company300954Agent - Life4/13/201810/31/2020
InactivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities4/13/201810/31/2020
InactiveTalcott Resolution Life Insurance Company301759Agent - Health9/3/20086/23/2011
InactiveTalcott Resolution Life Insurance Company301759Agent - Life9/3/20086/23/2011
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities9/3/20086/23/2011
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health8/27/20086/23/2011
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life8/27/20086/23/2011
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities8/27/20086/23/2011
InactiveTransamerica Life Insurance Company300571Agent - Life4/13/201810/31/2020
InactiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities4/13/201810/31/2020
InactiveZurich American Life Insurance Company300216Agent - Variable Life and Variable Annuities9/5/20187/15/2019
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveMerrill Lynch Life Agency Inc.400527Agent - Life9/8/20158/31/2017
InactiveMerrill Lynch Life Agency Inc.400527Agent - Health9/8/20158/31/2017
InactiveMerrill Lynch Life Agency Inc.400527Agent - Variable Life and Variable Annuities9/8/20158/31/2017
InactiveMorgan Stanley Insurance Services Inc644934Agent - Life4/11/201810/31/2020
InactiveMorgan Stanley Insurance Services Inc644934Agent - Health4/11/201810/31/2020
InactiveMorgan Stanley Insurance Services Inc644934Agent - Variable Life and Variable Annuities4/11/201810/31/2020
InactiveSBS Insurance Brokers of Kentucky Inc.398096Agent - Life8/27/20084/21/2009
InactiveSBS Insurance Brokers of Kentucky Inc.398096Agent - Health8/27/20084/21/2009
InactiveSBS Insurance Brokers of Kentucky Inc.398096Agent - Variable Life and Variable Annuities8/27/20084/21/2009
InactiveSbhu Life Agency Inc689591Agent - Life11/17/20083/2/2012
InactiveSbhu Life Agency Inc689591Agent - Health11/17/20083/2/2012
InactiveSbhu Life Agency Inc689591Agent - Variable Life and Variable Annuities11/17/20083/2/2012
InactiveUbs Financial Services Ins Agency Inc399373Agent - Life3/1/20123/2/2012
InactiveUbs Financial Services Ins Agency Inc399373Agent - Health3/1/20123/2/2012
InactiveUbs Financial Services Ins Agency Inc399373Agent - Variable Life and Variable Annuities3/1/20123/2/2012

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