DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Tyson, Shad Louis	DOIID	942463	NAIC NPN	7317017

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	1/19/2017		11/30/2025
Active	Non Resident	Agent	Health	1/19/2017		11/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	09/15/2025	11/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	11/10/2021	12/13/2024
Active	Athene Annuity and Life Company	301893	Agent - Life	8/1/2023
Active	CMFG Life Insurance Company	300929	Agent - Health	2/7/2019
Active	CMFG Life Insurance Company	300929	Agent - Life	2/7/2019
Inactive	Equitable Financial Life Insurance Company of America	301772	Agent - Life	5/21/2022	3/22/2023
Active	Forethought Life Insurance Company	301407	Agent - Health	7/31/2023
Active	Forethought Life Insurance Company	301407	Agent - Life	7/31/2023
Active	Midland National Life Insurance Company	300923	Agent - Life	11/5/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Huntington Investment Co The	633475	Agent - Life	4/15/2020