DEPARTMENT OF INSURANCE
Affiliations
NameShepherd, Virginia MDOIID957209NAIC NPN18434345
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife6/12/20178/23/2021 
InactiveNon ResidentAgentHealth6/12/20178/23/2021 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveHorace Mann Life Insurance Company300852Agent - Health8/15/20197/16/2020
InactiveHorace Mann Life Insurance Company300852Agent - Life8/15/20197/16/2020
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveHorace Mann Service Corporation400869Agent - Life6/20/20177/3/2018
InactiveHorace Mann Service Corporation400869Agent - Health6/20/20177/3/2018

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