DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Farkas, Shawn Michael	DOIID	780061	NAIC NPN	16530495

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	4/24/2012	5/3/2016
Inactive	Non Resident	Agent	Health	4/24/2012	5/3/2016
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	7/7/2013	4/7/2016
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	7/7/2013	4/7/2016
Inactive	American Income Life Insurance Company	300256	Agent - Health	5/8/2012	2/10/2015
Inactive	American Income Life Insurance Company	300256	Agent - Life	5/8/2012	2/10/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/19/2015	5/3/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/19/2015	5/3/2016
Inactive	HCC Life Insurance Company	301827	Agent - Health	9/11/2015	5/3/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	11/19/2015	5/3/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	11/19/2015	5/3/2016