DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Green, Shardia	DOIID	1277955	NAIC NPN	20039650

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/2/2023		2/28/2026
Active	Non Resident	Agent	Life	6/2/2023		2/28/2026
* 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	12/15/2025	02/28/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	6/7/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	6/7/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	6/7/2023
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	6/16/2023	7/26/2023
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	6/16/2023	7/26/2023
Active	SilverScript Insurance Company	663526	Agent - Health	6/7/2023
Inactive	Tier One Insurance Company	301056	Agent - Health	6/22/2023	6/28/2023
Inactive	Tier One Insurance Company	301056	Agent - Life	6/22/2023	6/28/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Sutherland Global Services Inc	601788	Agent - Life	6/16/2023	7/26/2023
Active	Sutherland Global Services Inc	601788	Agent - Health	6/15/2023