DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hall, Shawna Gail	DOIID	851089	NAIC NPN	17363820

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	9/11/2014	9/1/2017
Inactive	Resident	Agent	Life	9/11/2014	9/1/2017
* 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 Heritage Life Insurance Company	300272	Agent - Health	9/11/2014	9/1/2017
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	9/11/2014	9/1/2017
Inactive	Combined Insurance Company of America	301472	Agent - Health	9/19/2014	9/1/2017
Inactive	Combined Insurance Company of America	301472	Agent - Life	9/19/2014	9/1/2017
Inactive	Dental Care Plus Inc.	301495	Agent - Health	10/14/2014	9/1/2017
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	10/21/2014	9/1/2017
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	10/21/2014	9/1/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kentucky Benefit Specialists, LLC	813606	Agent - Life	9/11/2014	9/1/2017
Inactive	Kentucky Benefit Specialists, LLC	813606	Agent - Health	9/11/2014	9/1/2017