DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hardt, Shelly	DOIID	764154	NAIC NPN	16397017

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	12/5/2011		3/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2027	03/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Clear Spring Life and Annuity Company	300919	Agent - Life	1/21/2016	11/22/2024
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	6/3/2016	1/8/2019
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	6/4/2015	3/10/2017
Inactive	Protective Life Insurance Company	300638	Agent - Life	5/12/2016	11/23/2019
Active	Southern Financial Life Insurance Company	300664	Agent - Life	8/17/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	FNB Bank, Inc	399080	Agent - Life	9/3/2025