DEPARTMENT OF INSURANCE

Affiliations

Name	Shields, John W	DOIID	311464	NAIC NPN	2343239

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health Maintenance Organization	8/28/1997	3/1/2001
Inactive	Resident	Agent	Health	3/6/1997	4/30/2005
Inactive	Resident	Agent	Life	3/6/1997	4/30/2005
* 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
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	9/2/1997	1/13/2003
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	9/2/1997	1/13/2003
Inactive	American National Insurance Company	301861	Agent - Health	6/25/2001	4/30/2005
Inactive	American National Insurance Company	301861	Agent - Life	6/25/2001	4/30/2005
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/6/1997	1/13/2003
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/6/1997	1/13/2003
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	2/9/1999	1/13/2003
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	2/9/1999	1/13/2003
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Health	4/12/2002	3/28/2005
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Life	4/12/2002	3/28/2005
Inactive	First Allmerica Financial Life Insurance Company	301853	Agent - Health	2/12/1998	4/30/2005
Inactive	First Allmerica Financial Life Insurance Company	301853	Agent - Life	2/12/1998	4/30/2005
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	4/26/2000	1/13/2003
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	4/26/2002	1/13/2003
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	3/27/2004
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	9/20/1998	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	9/18/1998	3/27/2004
Inactive	Humana Insurance Company	301104	Agent - Life	9/18/1998	3/27/2004
Inactive	John Alden Life Insurance Company	300573	Agent - Health	4/5/2001	11/15/2002
Inactive	John Alden Life Insurance Company	300573	Agent - Life	4/5/2001	11/15/2002
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	4/18/2000	4/30/2005
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	4/18/2000	4/30/2005
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	11/19/1998	1/13/2003
Inactive	PacifiCare Life Assurance Company	301082	Agent - Health	6/22/1998	7/31/2001
Inactive	PacifiCare Life Assurance Company	301082	Agent - Life	6/22/1998	7/31/2001
Inactive	PacifiCare of Ohio Inc.	301904	Agent - Health	3/1/2001	3/31/2001
Inactive	PacifiCare of Ohio Inc.	301904	Agent - Health Maintenance Organization	8/28/1997	3/1/2001
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	4/19/1999	8/24/2000
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	4/19/1999	8/24/2000
Inactive	Principal Life Insurance Company	300129	Agent - Health	12/20/2002	1/13/2003
Inactive	Principal Life Insurance Company	300129	Agent - Life	7/28/1998	1/13/2003
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	6/24/1997	11/10/2004
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	6/24/1997	11/10/2004
Inactive	Prudential Health Care Plan Inc.	301342	Agent - Health	3/1/2001	5/21/2003
Inactive	Prudential Health Care Plan Inc.	301342	Agent - Health Maintenance Organization	7/6/1999	3/1/2001
Inactive	Prudential Insurance Company of America	300784	Agent - Health	2/23/1999	4/30/2005
Inactive	Prudential Insurance Company of America	300784	Agent - Life	2/23/1999	4/30/2005
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	5/18/2000	4/30/2005
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	5/18/2000	4/30/2005
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	11/19/2001	4/30/2005
Inactive	Union Security Insurance Company	301844	Agent - Health	11/16/1999	1/13/2003
Inactive	Union Security Insurance Company	301844	Agent - Life	11/16/1999	1/13/2003
Inactive	United Wisconsin Insurance Company	301103	Agent - Health	9/18/2000	12/1/2000
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	12/20/2002	1/13/2003
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	2/23/1999	1/13/2003
Inactive	West Coast Life Insurance Company	301607	Agent - Life	4/25/2002	1/13/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia of Northern Kentucky Inc.	398394	Agent - Life	5/27/1999	1/13/2003
Inactive	Acordia of Northern Kentucky Inc.	398394	Agent - Health	5/27/1999	1/13/2003
Inactive	Acordia of Northern Kentucky Inc.	398394	Agent - Health Maintenance Organization	4/13/1999	3/1/2001
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	1/15/1999	1/13/2003
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	1/15/1999	1/13/2003