DEPARTMENT OF INSURANCE

Affiliations

Name	Shelley, David Allen	DOIID	795971	NAIC NPN	1245473

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	10/31/2012	1/31/2026
Active	Non Resident	Agent	Health	10/31/2012	1/31/2026
* 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
Active	Aetna Health Inc. (PA)	660717	Agent - Health	1/13/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	5/9/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	1/13/2023
Active	Amalgamated Life Insurance Company	701415	Agent - Health	4/24/2019
Active	Amalgamated Life Insurance Company	701415	Agent - Life	4/24/2019
Active	American Financial Security Life Insurance Co.	301635	Agent - Health	4/20/2022
Active	American Financial Security Life Insurance Co.	301635	Agent - Life	4/20/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/29/2015	7/14/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/29/2015	7/14/2015
Inactive	Combined Insurance Company of America	301472	Agent - Health	11/25/2013	3/16/2016
Inactive	Combined Insurance Company of America	301472	Agent - Life	11/25/2013	3/16/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	5/14/2016	6/8/2018
Inactive	Companion Life Insurance Company	300191	Agent - Health	8/4/2014	3/4/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	5/14/2016	6/8/2018
Active	Everest Reinsurance Company	301836	Agent - Health	1/31/2023
Active	Federal Insurance Company	301144	Agent - Health	7/18/2018
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	9/13/2018	8/28/2023
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	9/13/2018	8/28/2023
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	3/21/2013	6/20/2017
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	3/21/2013	6/20/2017
Active	Golden Rule Insurance Company	301943	Agent - Health	10/27/2014
Active	Golden Rule Insurance Company	301943	Agent - Life	10/27/2014
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	5/14/2016	6/8/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	5/14/2016	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/14/2016	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Health	5/14/2016	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Life	5/14/2016	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/14/2016	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/14/2016	6/8/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	5/14/2016	6/8/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	6/8/2018
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	5/9/2024
Active	National Health Insurance Company	300554	Agent - Health	9/10/2017
Active	North River Insurance Company (The)	301739	Agent - Health	7/18/2023
Active	SilverScript Insurance Company	663526	Agent - Health	5/9/2024
Inactive	Starr Indemnity and Liability Company	301685	Agent - Health	7/31/2014	10/19/2016
Inactive	Time Insurance Company	300683	Agent - Health	1/28/2014	11/22/2019
Inactive	Time Insurance Company	300683	Agent - Life	1/28/2014	11/22/2019
Active	Unified Life Insurance Company	543169	Agent - Health	4/18/2017
Active	United States Fire Insurance Company	582240	Agent - Health	2/9/2022
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	11/12/2015	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	11/12/2015	11/4/2016

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	5/29/2015	7/14/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Health	5/29/2015	7/14/2015
Inactive	Homeland Healthcare, LLC	736705	Agent - Life	3/21/2013	12/9/2015
Inactive	Homeland Healthcare, LLC	736705	Agent - Health	3/21/2013	12/9/2015
Inactive	Precise Solutions Group LLC	786316	Agent - Life	2/27/2014	3/31/2016
Inactive	Precise Solutions Group LLC	786316	Agent - Health	2/27/2014	3/31/2016