DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Shoulta, Joshua	DOIID	748770	NAIC NPN	16159127

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	3/30/2011	12/1/2013
Inactive	Resident	Agent	Health	4/19/2011	12/1/2013
* 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	Golden Rule Insurance Company	301943	Agent - Health	6/27/2011	1/28/2013
Inactive	Golden Rule Insurance Company	301943	Agent - Life	6/27/2011	1/28/2013
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	6/28/2011	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	6/28/2011	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	6/28/2011	12/26/2012
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Health	4/25/2011	11/27/2012
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Life	4/6/2011	11/27/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Woodmen Insurance Agency, Inc.	579244	Agent - Life	8/8/2011	1/28/2013
Inactive	Woodmen Insurance Agency, Inc.	579244	Agent - Health	8/8/2011	1/28/2013