DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Shibley, Andrew W	DOIID	861304	NAIC NPN	17333766

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	11/19/2014	6/30/2024
Inactive	Non Resident	Agent	Health	11/19/2014	6/30/2024
* 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	Berkshire Life Insurance Company of America	300983	Agent - Health	12/10/2014	12/15/2019
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	12/10/2014	12/15/2019
Inactive	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Life	12/10/2014	12/15/2019
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	12/10/2014	12/15/2019
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	12/10/2014	12/15/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Raymond James Insurance Group, Inc.	398342	Agent - Health	9/5/2019	12/15/2019
Inactive	Raymond James Insurance Group, Inc.	398342	Agent - Life	9/5/2019	12/15/2019