DEPARTMENT OF INSURANCE

Affiliations

Name	Greene, Shaun J	DOIID	648222	NAIC NPN	8991785

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	8/7/2023		7/31/2025
Active	Non Resident	Agent	Health	8/7/2023		7/31/2025
Inactive	Non Resident	Agent	Property	10/1/2019	7/31/2021
Inactive	Non Resident	Agent	Casualty	10/1/2019	7/31/2021
* 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	05/15/2025	07/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AXIS Insurance Company	301290	Agent - Health	4/25/2017	7/31/2021
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	2/14/2019	2/18/2021
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	2/14/2019	2/18/2021
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Health	10/12/2016	7/31/2021
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Life	10/12/2016	7/31/2021
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	9/5/2017	7/31/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/9/2010	7/1/2011
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/9/2010	7/1/2011
Inactive	Aspen American Insurance Company	301513	Agent - Health	2/20/2020	12/1/2020
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	2/25/2020	6/10/2020
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	6/15/2010	6/1/2011
Inactive	Companion Life Insurance Company	300191	Agent - Health	10/21/2016	11/30/2017
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	11/10/2008	7/31/2011
Inactive	Conseco Health Insurance Company	301725	Agent - Health	6/18/2007	11/11/2009
Inactive	Conseco Health Insurance Company	301725	Agent - Life	6/18/2007	11/11/2009
Inactive	Conseco Insurance Company	301202	Agent - Health	6/18/2007	10/7/2009
Inactive	Conseco Insurance Company	301202	Agent - Life	6/18/2007	10/7/2009
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/5/2010	6/1/2011
Inactive	Everest Reinsurance Company	301836	Agent - Health	10/12/2016	4/2/2021
Inactive	Federal Insurance Company	301144	Agent - Health	7/27/2017	7/31/2021
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	12/15/2010	6/29/2011
Inactive	Golden Rule Insurance Company	301943	Agent - Health	6/3/2016	4/19/2019
Inactive	Golden Rule Insurance Company	301943	Agent - Life	6/3/2016	4/19/2019
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	5/12/2017	12/6/2018
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	5/12/2017	12/6/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/5/2007	6/1/2011
Inactive	Humana Insurance Company	301104	Agent - Health	10/13/2017	6/4/2019
Inactive	Humana Insurance Company	301104	Agent - Life	10/13/2017	6/4/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/5/2007	6/1/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/5/2007	6/1/2011
Inactive	LifeShield National Insurance Company	737111	Agent - Health	9/14/2018	7/31/2021
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	12/6/2010	7/31/2011
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Health	11/30/2009	7/31/2011
Inactive	National Health Insurance Company	300554	Agent - Health	9/13/2017	7/14/2021
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	5/3/2010	7/31/2011
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	11/6/2024	2/19/2025
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	11/6/2024	2/19/2025
Inactive	North River Insurance Company (The)	301739	Agent - Health	9/18/2020	7/31/2021
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	7/8/2010	3/9/2011
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Life	3/13/2008	7/31/2011
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Health	11/30/2009	7/31/2011
Active	Renaissance Life & Health Insurance Company of America	301447	Agent - Health	2/6/2025
Active	Renaissance Life & Health Insurance Company of America	301447	Agent - Life	2/6/2025
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	11/16/2016	7/31/2021
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	11/16/2016	7/31/2021
Inactive	Sterling Life Insurance Company	301947	Agent - Health	10/7/2008	3/11/2010
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	12/18/2007	1/5/2010
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	12/18/2007	1/5/2010
Inactive	Unified Life Insurance Company	543169	Agent - Health	10/12/2016	12/12/2017
Inactive	United Concordia Insurance Company	903543	Agent - Health	3/31/2020	7/31/2021
Inactive	United World Life Insurance Company	300532	Agent - Health	10/17/2008	12/15/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/17/2008	7/31/2011
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	10/17/2008	7/31/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/8/2010	3/9/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	3/13/2008	7/31/2011
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	6/3/2016	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	6/3/2016	11/4/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/8/2010	3/9/2011
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/15/2010	7/18/2011
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Health	1/5/2009	10/11/2010
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Life	1/5/2009	10/11/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Affordable Benefit Choices, LLC	1072094	Agent - Health	3/4/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Life	9/9/2010	7/9/2011
Inactive	Designated Agent Company Inc.	681257	Agent - Health	9/9/2010	7/9/2011
Inactive	Extend Insurance Services LLC	625753	Agent - Life	10/15/2008	7/31/2011
Inactive	Extend Insurance Services LLC	625753	Agent - Health	10/15/2008	7/31/2011
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Life	4/23/2018	7/31/2021
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	4/23/2018	7/31/2021
Inactive	Healthinsurance.Com, LLC	1082129	Agent - Life	4/24/2020	10/23/2020
Inactive	Healthinsurance.Com, LLC	1082129	Agent - Health	4/24/2020	10/23/2020
Inactive	Healthinsurance.Com, LLC	1082129	Agent - Casualty	4/24/2020	10/23/2020
Inactive	Healthinsurance.Com, LLC	1082129	Agent - Property	4/24/2020	10/23/2020
Inactive	Healthpocket Inc	915036	Agent - Life	5/10/2016	10/23/2020
Inactive	Healthpocket Inc	915036	Agent - Health	5/10/2016	10/23/2020
Inactive	Healthpocket Inc	915036	Agent - Casualty	10/21/2019	10/23/2020
Inactive	Healthpocket Inc	915036	Agent - Property	10/21/2019	10/23/2020