DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Koch, Shannon F	DOIID	799437	NAIC NPN	16769958

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	1/11/2013	1/31/2019
Inactive	Non Resident	Agent	Health	12/13/2012	1/31/2019
* 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	Colonial Life and Accident Insurance Company	300846	Agent - Health	5/3/2018	1/31/2019
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	5/3/2018	1/31/2019
Inactive	Omaha Insurance Company	751908	Agent - Health	1/8/2013	8/8/2018
Inactive	United World Life Insurance Company	300532	Agent - Health	10/15/2018	1/31/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	10/27/2016	11/12/2018
Denied	TZ Insurance Solutions LLC	727470	Agent - Life