DEPARTMENT OF INSURANCE

Affiliations

Name	Shaw, Steven D	DOIID	793136	NAIC NPN	14056910

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	10/1/2012	7/31/2015
Inactive	Non Resident	Agent	Health	10/1/2012	7/31/2015
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	10/22/2012	7/31/2015
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/22/2012	7/31/2015
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/22/2012	7/31/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/1/2013	7/31/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/1/2013	7/31/2015
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	10/9/2013	7/31/2015
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	10/9/2013	7/31/2015
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/10/2013	12/31/2013
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	10/9/2013	6/11/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	10/9/2013	6/11/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/10/2013	12/31/2013
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/5/2013	7/31/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	4/15/2013	12/31/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/15/2013	12/31/2013
Inactive	Humana Insurance Company	301104	Agent - Health	4/15/2013	12/31/2013
Inactive	Humana Insurance Company	301104	Agent - Life	4/15/2013	12/31/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/15/2013	12/31/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/15/2013	12/31/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/10/2013	12/31/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	7/10/2013	12/31/2013
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	10/17/2012	1/29/2013
Inactive	Omaha Insurance Company	751908	Agent - Health	10/17/2012	1/29/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/17/2012	1/29/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	10/17/2012	1/29/2013

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	5/2/2013	7/31/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Health	5/2/2013	7/31/2015