DEPARTMENT OF INSURANCE
Affiliations
NameShaddock, Michael JeffersonDOIID1274265NAIC NPN8103158
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife5/12/2023 11/30/2026
ActiveNon ResidentAgentCasualty4/16/2024 11/30/2026
ActiveNon ResidentAgentProperty4/16/2024 11/30/2026
ActiveNon ResidentAgentHealth5/12/2023 11/30/2026
* 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
InactiveAccendo Insurance Company300312Agent - Health6/7/202311/17/2023
InactiveAccendo Insurance Company300312Agent - Life6/7/202312/16/2023
ActiveAetna Health Inc. (PA)660717Agent - Health5/24/2023 
InactiveAetna Health and Life Insurance Company300523Agent - Health6/7/202312/16/2023
ActiveAetna Health of Ohio Inc.1065035Agent - Health5/24/2023 
ActiveAetna Life Insurance Company301140Agent - Health5/24/2023 
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health5/12/202312/13/2023
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health5/12/202312/13/2023
InactiveAnthem Insurance Companies, Inc.300941Agent - Health5/12/202312/13/2023
InactiveCompcare Health Services Insurance Corporation948751Agent - Health5/12/202312/13/2023
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health6/7/202312/16/2023
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life6/7/202312/16/2023
ActiveHiscox Insurance Company Inc.300894Agent - Casualty8/8/2024 
ActiveHiscox Insurance Company Inc.300894Agent - Property8/8/2024 
ActiveMidvale Indemnity Company300292Agent - Casualty8/2/2024 
ActiveMidvale Indemnity Company300292Agent - Property8/2/2024 
ActiveSilverScript Insurance Company663526Agent - Health5/24/2023 
InactiveWellCare Health Plans of Kentucky, Inc.838592Agent - Health9/11/20239/17/2024
ActiveWellfleet Insurance Company300542Agent - Casualty5/14/2024 
ActiveWellfleet Insurance Company300542Agent - Property5/14/2024 
ActiveWellfleet New York Insurance Company300245Agent - Casualty5/14/2024 
ActiveWellfleet New York Insurance Company300245Agent - Property5/14/2024 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveGeico Insurance Agency, LLC558517Agent - Casualty5/14/2024 
ActiveGeico Insurance Agency, LLC558517Agent - Property5/14/2024 
InactiveSmart Match Insurance Agency LLC829381Agent - Health5/30/20236/29/2023
InactiveSmart Match Insurance Agency LLC829381Agent - Life6/7/20236/29/2023

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