DEPARTMENT OF INSURANCE
Affiliations
NameShackelford, Edward LeeDOIID538805NAIC NPN371012
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife10/2/2001 11/30/2026
ActiveNon ResidentAgentHealth10/2/2001 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
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent09/15/202611/30/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAccendo Insurance Company300312Agent - Health7/25/2022 
ActiveAccendo Insurance Company300312Agent - Life7/25/2022 
ActiveAetna Health Inc. (PA)660717Agent - Health12/14/2012 
ActiveAetna Health and Life Insurance Company300523Agent - Health7/25/2022 
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/24/2020 
ActiveAetna Life Insurance Company301140Agent - Health12/14/2012 
ActiveAetna Life Insurance Company301140Agent - Life12/14/2012 
InactiveAllianz Life Insurance Company of North America301791Agent - Life4/10/20212/1/2026
InactiveAmerican General Life Insurance Company301585Agent - Health9/10/200712/20/2013
InactiveAmerican General Life Insurance Company301585Agent - Life9/10/200712/20/2013
InactiveAmerican General Life and Accident Insurance Company301362Agent - Health9/10/200712/31/2012
InactiveAmerican General Life and Accident Insurance Company301362Agent - Life9/10/200712/31/2012
InactiveAmerican Heritage Life Insurance Company300272Agent - Health1/20/20118/29/2019
InactiveAmerican Heritage Life Insurance Company300272Agent - Life1/20/20118/29/2019
ActiveAmerican National Insurance Company301861Agent - Life12/30/2005 
InactiveAmerican National Life Insurance Company of Texas300912Agent - Health9/12/20198/31/2021
InactiveAmerican Pioneer Life Insurance Company301782Agent - Life4/18/20069/13/2012
InactiveAmerican Republic Insurance Company300861Agent - Health3/31/20133/27/2017
InactiveAmerican Republic Insurance Company300861Agent - Life3/31/20133/27/2017
InactiveAmerico Financial Life and Annuity Insurance Company300869Agent - Health8/25/201512/28/2020
ActiveAmerico Financial Life and Annuity Insurance Company300869Agent - Life4/16/2026 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health8/31/2017 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health11/7/202112/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health11/7/2021 
InactiveAnthem Life Insurance Company301209Agent - Health12/8/20204/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life12/8/20204/15/2025
ActiveArcadian Health Plan, Inc.728196Agent - Health11/18/2019 
ActiveCIGNA Health & Life Insurance Company301783Agent - Health11/28/2022 
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/21/2022 
InactiveChesapeake Life Insurance Company (The)301017Agent - Health4/27/20202/1/2021
InactiveColorado Bankers Life Insurance Company301845Agent - Health2/15/20077/6/2011
InactiveColorado Bankers Life Insurance Company301845Agent - Life2/15/20077/6/2011
InactiveColumbian Life Insurance Company300810Agent - Life3/20/20247/31/2024
InactiveCombined Insurance Company of America301472Agent - Health7/14/20162/17/2025
InactiveCombined Insurance Company of America301472Agent - Life7/14/20162/17/2025
InactiveCompBenefits Dental, Inc.591692Agent - Health12/15/20093/14/2019
InactiveCompBenefits Insurance Company301864Agent - Health12/15/200912/5/2011
InactiveCompBenefits Insurance Company301864Agent - Life12/15/200912/5/2011
ActiveCompcare Health Services Insurance Corporation948751Agent - Health11/7/2021 
InactiveConnecticut General Life Insurance Company301333Agent - Health12/26/20086/11/2014
InactiveConseco Health Insurance Company301725Agent - Health12/14/200610/9/2009
InactiveConseco Health Insurance Company301725Agent - Life12/14/200610/9/2009
InactiveConseco Insurance Company301202Agent - Health12/14/20063/15/2010
InactiveConseco Insurance Company301202Agent - Life12/14/20063/15/2010
InactiveContinental General Insurance Company300691Agent - Health1/30/20076/24/2010
InactiveContinental General Insurance Company300691Agent - Life1/30/20076/24/2010
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health7/25/2022 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life7/25/2022 
InactiveCotton States Life Insurance Company300268Agent - Life12/9/200212/1/2006
InactiveCoventry Health and Life Insurance Company301771Agent - Health5/14/20087/6/2009
ActiveDental Concern Inc. (The)301641Agent - Health3/21/2009 
ActiveDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health7/23/2024 
ActiveEmphesys Insurance Company300598Agent - Health12/1/2025 
InactiveEverly Life Insurance Company561641Agent - Life10/17/200612/21/2010
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Life5/13/20026/5/2006
ActiveFirst Health Life & Health Insurance Company301735Agent - Health5/8/2013 
InactiveGateway Health Plan of Ohio, Inc.833424Agent - Health9/29/20151/1/2019
ActiveGerber Life Insurance Company300529Agent - Health8/19/2019 
ActiveGerber Life Insurance Company300529Agent - Life8/19/2019 
ActiveGlobe Life and Accident Insurance Company300639Agent - Health4/7/2026 
ActiveGlobe Life and Accident Insurance Company300639Agent - Life4/7/2026 
ActiveGolden Rule Insurance Company301943Agent - Health6/1/2009 
ActiveGolden Rule Insurance Company301943Agent - Life6/1/2009 
InactiveGreat Western Insurance Company501693Agent - Life12/19/20199/25/2024
InactiveGuarantee Reserve Life Insurance Company300608Agent - Health11/27/200212/31/2003
InactiveGuarantee Reserve Life Insurance Company300608Agent - Life11/27/200212/31/2003
ActiveGuarantee Trust Life Insurance Company301043Agent - Health2/2/2022 
ActiveGuarantee Trust Life Insurance Company301043Agent - Life2/2/2022 
InactiveHealthSpring National Health Insurance Company300235Agent - Health10/5/20066/24/2010
InactiveHealthSpring National Health Insurance Company300235Agent - Life10/5/20066/24/2010
ActiveHealthspring Healthcare of Colorado, Inc.1098153Agent - Health11/28/2022 
ActiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health10/9/2014 
ActiveHumana Health Plan of Ohio Inc.301565Agent - Health12/2/2019 
ActiveHumana Health Plan, Inc.300142Agent - Health9/16/2005 
ActiveHumana Insurance Company301104Agent - Health9/16/2005 
ActiveHumana Insurance Company301104Agent - Life9/16/2005 
ActiveHumana Insurance Company of Kentucky300826Agent - Health9/16/2005 
ActiveHumana Insurance Company of Kentucky300826Agent - Life9/16/2005 
ActiveHumana Medical Plan, Inc.801568Agent - Health10/8/2014 
ActiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health10/12/2016 
InactiveHumanaDental Insurance Company301457Agent - Health11/22/201112/19/2012
InactiveHumanaDental Insurance Company301457Agent - Life11/22/201112/19/2012
ActiveIndependent Order of Foresters300743Agent - Life6/15/2009 
ActiveIntegrity Life Insurance Company301687Agent - Life8/9/2024 
InactiveJohn Hancock Life Insurance Company300821Agent - Health10/23/20036/7/2008
InactiveJohn Hancock Life Insurance Company300821Agent - Life10/23/20036/7/2008
InactiveKanawha Insurance Company300127Agent - Health1/26/201010/22/2015
InactiveKanawha Insurance Company300127Agent - Life1/26/201010/22/2015
InactiveLasso Healthcare Insurance Company1022651Agent - Health8/10/202012/30/2021
InactiveLiberty National Life Insurance Company300827Agent - Health9/11/200810/1/2012
InactiveLiberty National Life Insurance Company300827Agent - Life9/11/200810/1/2012
ActiveLifeShield National Insurance Company737111Agent - Life8/14/2019 
InactiveLoyal American Life Insurance Company301172Agent - Health11/21/200712/21/2018
InactiveLoyal American Life Insurance Company301172Agent - Life11/21/200712/21/2018
ActiveMadison National Life Insurance Company Inc.301458Agent - Health9/17/2010 
InactiveMadison National Life Insurance Company Inc.301458Agent - Life9/17/20107/8/2015
InactiveMarkel Insurance Company301475Agent - Health11/30/201012/12/2011
InactiveMedico Corp Life Insurance Company301777Agent - Health4/11/20144/12/2018
InactiveMedico Corp Life Insurance Company301777Agent - Life4/11/20144/12/2018
ActiveMedico Insurance Company301559Agent - Health5/20/2013 
ActiveMedico Insurance Company301559Agent - Life5/20/2013 
ActiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health7/24/2021 
InactiveMutual of Omaha Insurance Company301012Agent - Health4/5/201112/26/2012
InactiveNGL Insurance Company300596Agent - Health9/21/200410/30/2006
InactiveNGL Insurance Company300596Agent - Life9/21/200410/30/2006
InactiveNassau Life Insurance Company of Kansas300667Agent - Health12/8/200812/13/2012
ActiveOhio State Life Insurance Company (The)300865Agent - Health3/30/2020 
ActiveOhio State Life Insurance Company (The)300865Agent - Life3/30/2020 
InactiveOmaha Insurance Company751908Agent - Health4/13/20126/24/2013
ActiveOxford Life Insurance Company301079Agent - Life12/26/2023 
InactivePacifiCare Life and Health Insurance Company301304Agent - Health7/2/200811/3/2011
InactivePacifiCare Life and Health Insurance Company301304Agent - Life7/2/20087/17/2012
InactivePartnerRe Life Reinsurance Company of America300550Agent - Health4/20/200612/26/2012
InactivePartnerRe Life Reinsurance Company of America300550Agent - Life4/20/200612/26/2012
InactivePennsylvania Life Insurance Company301321Agent - Health12/8/20088/15/2011
InactiveProvident American Life & Health Insurance Company300413Agent - Health10/5/20066/24/2010
InactiveProvident American Life & Health Insurance Company300413Agent - Life10/5/20066/24/2010
InactiveReassure America Life Insurance Company300678Agent - Health12/31/20032/1/2005
InactiveReassure America Life Insurance Company300678Agent - Life12/31/20032/1/2005
InactiveReserve National Insurance Company301073Agent - Health11/5/20125/24/2021
InactiveReserve National Insurance Company301073Agent - Life11/5/20125/24/2021
InactiveS.USA Life Insurance Company, Inc.301774Agent - Life9/14/201712/30/2019
InactiveSILAC Insurance Company300535Agent - Health1/30/201211/5/2020
InactiveSILAC Insurance Company300535Agent - Life1/30/201211/5/2020
InactiveSecurity Life Insurance Company of America300936Agent - Health11/28/20068/7/2009
InactiveSecurity Life Insurance Company of America300936Agent - Life11/28/20068/7/2009
InactiveShenandoah Life Insurance Company300130Agent - Health11/13/20063/31/2009
InactiveShenandoah Life Insurance Company300130Agent - Life11/13/20063/31/2009
ActiveSilverScript Insurance Company663526Agent - Health10/31/2019 
InactiveStandard Life and Accident Insurance Company301534Agent - Health9/12/201911/22/2022
InactiveStandard Life and Accident Insurance Company301534Agent - Life2/15/20021/21/2008
ActiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life1/15/2026 
ActiveTier One Insurance Company301056Agent - Health10/24/2022 
InactiveTier One Insurance Company301056Agent - Life8/17/202212/20/2024
InactiveTime Insurance Company300683Agent - Health6/30/200911/23/2019
InactiveTime Insurance Company300683Agent - Life6/30/200911/23/2019
InactiveUnion Bankers Insurance Company301769Agent - Health12/11/20031/13/2009
InactiveUnion Bankers Insurance Company301769Agent - Life12/11/20031/13/2009
ActiveUnited American Insurance Company300910Agent - Health10/2/2001 
ActiveUnited American Insurance Company300910Agent - Life10/2/2001 
ActiveUnited National Life Insurance Company844837Agent - Health10/15/2019 
ActiveUnited National Life Insurance Company844837Agent - Life10/15/2019 
InactiveUnited of Omaha Life Insurance Company300156Agent - Health4/5/201112/26/2012
InactiveUnited of Omaha Life Insurance Company300156Agent - Life4/5/201112/26/2012
ActiveUnitedHealthcare Insurance Company300946Agent - Health11/2/2007 
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/11/201612/21/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/6/201912/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/15/201812/23/2021
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health3/9/201112/5/2016
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/10/2015 
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health8/27/202112/30/2021
InactiveWellCare Prescription Insurance Inc.654329Agent - Health8/27/202112/29/2021
InactiveWellpoint Life and Health Insurance Company300469Agent - Health7/25/200710/14/2010
InactiveWellpoint Life and Health Insurance Company300469Agent - Life7/25/200710/14/2010
InactiveWorld Insurance Company300396Agent - Health2/2/20113/31/2013
InactiveWorld Insurance Company300396Agent - Life2/2/20113/31/2013
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAlexis Group, Inc. (The)640032Agent - Life10/3/20063/31/2008
InactiveAlexis Group, Inc. (The)640032Agent - Health10/3/20063/31/2008
InactiveDesignated Agent Company Inc.681257Agent - Health8/31/20172/11/2025
InactiveNational Financial Integrity Group, Inc641056Agent - Life9/28/20063/31/2008
InactiveNational Financial Integrity Group, Inc641056Agent - Health9/28/20063/31/2008
ActiveThe Assurance Group LLC600609Agent - Life1/20/2005 
ActiveThe Assurance Group LLC600609Agent - Health1/20/2005 

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