DEPARTMENT OF INSURANCE

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.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	11/10/2021
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