DEPARTMENT OF INSURANCE

Affiliations

Name	Shaddock, Michael Jefferson	DOIID	1274265	NAIC NPN	8103158

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	4/16/2024	11/30/2026
Active	Non Resident	Agent	Health	5/12/2023	11/30/2026
Active	Non Resident	Agent	Property	4/16/2024	11/30/2026
Active	Non Resident	Agent	Life	5/12/2023	11/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	09/15/2026	11/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	6/7/2023	11/17/2023
Inactive	Accendo Insurance Company	300312	Agent - Life	6/7/2023	12/16/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	5/24/2023
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	6/7/2023	12/16/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	5/24/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	5/24/2023
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/12/2023	12/13/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	5/12/2023	12/13/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	5/12/2023	12/13/2023
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	5/12/2023	12/13/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	6/7/2023	12/16/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	6/7/2023	12/16/2023
Active	Government Employees Insurance Company	300376	Agent - Casualty	12/1/2025
Active	Government Employees Insurance Company	300376	Agent - Property	12/1/2025
Active	Hiscox Insurance Company Inc.	300894	Agent - Casualty	8/8/2024
Active	Hiscox Insurance Company Inc.	300894	Agent - Property	8/8/2024
Active	Midvale Indemnity Company	300292	Agent - Casualty	8/2/2024
Active	Midvale Indemnity Company	300292	Agent - Property	8/2/2024
Active	SilverScript Insurance Company	663526	Agent - Health	5/24/2023
Inactive	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	9/11/2023	9/17/2024
Active	Wellfleet Insurance Company	300542	Agent - Casualty	5/14/2024
Active	Wellfleet Insurance Company	300542	Agent - Property	5/14/2024
Active	Wellfleet New York Insurance Company	300245	Agent - Casualty	5/14/2024
Active	Wellfleet New York Insurance Company	300245	Agent - Property	5/14/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Geico Insurance Agency, LLC	558517	Agent - Casualty	5/14/2024
Active	Geico Insurance Agency, LLC	558517	Agent - Property	5/14/2024
Inactive	Smart Match Insurance Agency LLC	829381	Agent - Health	5/30/2023	6/29/2023
Inactive	Smart Match Insurance Agency LLC	829381	Agent - Life	6/7/2023	6/29/2023