DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Butler Ins Service Inc	DOIID	715808	NAIC NPN	3699446

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	4/1/2013	3/31/2015
Inactive	Non Resident	Agent	Casualty	4/1/2013	3/31/2015
Inactive	Non Resident	Agent	Health	4/1/2013	3/31/2015
Inactive	Non Resident	Agent	Property	4/1/2013	3/31/2015
* 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	Berkley Life and Health Insurance Company	301421	Agent - Health	1/26/2011	3/31/2011
Inactive	HM Life Insurance Company	301408	Agent - Health	4/8/2013	12/30/2014
Inactive	HM Life Insurance Company	301408	Agent - Life	4/8/2013	12/30/2014
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	1/15/2014	3/31/2015
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Health	10/17/2009	3/31/2011
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Life	10/17/2009	3/31/2011
Inactive	StarNet Insurance Company	502746	Agent - Health	5/10/2010	3/31/2011

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hammes, Shane D	539057	Agent - Casualty	4/1/2013	3/31/2015
Inactive	Hammes, Shane D	539057	Agent - Health	4/1/2013	3/31/2015
Inactive	Hammes, Shane D	539057	Agent - Life	4/1/2013	3/31/2015
Inactive	Hammes, Shane D	539057	Agent - Property	4/1/2013	3/31/2015