DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bozman, Shay	DOIID	938463	NAIC NPN	18180117

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	12/5/2016	8/31/2019
Inactive	Non Resident	Agent	Life	12/5/2016	8/31/2019
* 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	AXIS Insurance Company	301290	Agent - Health	3/30/2017	10/10/2019
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	12/12/2018	8/31/2019
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	12/12/2018	8/31/2019
Inactive	Federal Insurance Company	301144	Agent - Health	9/25/2017	10/10/2019
Inactive	National Health Insurance Company	300554	Agent - Health	9/10/2017	8/31/2019
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	5/29/2018	8/31/2019
Inactive	Unified Life Insurance Company	543169	Agent - Health	2/25/2017	12/28/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	9/28/2018	8/31/2019