DEPARTMENT OF INSURANCE

Affiliations

Name	Shelley, David Allen	DOIID	795971	NAIC NPN	1245473

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	10/31/2012	1/31/2026
Active	Non Resident	Agent	Health	10/31/2012	1/31/2026
* 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	11/15/2025	01/31/2026

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	1/13/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	5/9/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	1/13/2023
Active	Amalgamated Life Insurance Company	701415	Agent - Health	4/24/2019
Active	Amalgamated Life Insurance Company	701415	Agent - Life	4/24/2019
Active	American Financial Security Life Insurance Co.	301635	Agent - Health	4/20/2022
Active	American Financial Security Life Insurance Co.	301635	Agent - Life	4/20/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/29/2015	7/14/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/29/2015	7/14/2015
Inactive	Combined Insurance Company of America	301472	Agent - Health	11/25/2013	3/16/2016
Inactive	Combined Insurance Company of America	301472	Agent - Life	11/25/2013	3/16/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	5/14/2016	6/8/2018
Inactive	Companion Life Insurance Company	300191	Agent - Health	8/4/2014	3/4/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	5/14/2016	6/8/2018
Active	Everest Reinsurance Company	301836	Agent - Health	1/31/2023
Active	Federal Insurance Company	301144	Agent - Health	7/18/2018
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	9/13/2018	8/28/2023
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	9/13/2018	8/28/2023
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	3/21/2013	6/20/2017
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	3/21/2013	6/20/2017
Active	Golden Rule Insurance Company	301943	Agent - Health	10/27/2014
Active	Golden Rule Insurance Company	301943	Agent - Life	10/27/2014
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	5/14/2016	6/8/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	5/14/2016	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/14/2016	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Health	5/14/2016	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Life	5/14/2016	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/14/2016	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/14/2016	6/8/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	5/14/2016	6/8/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	6/8/2018
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	5/9/2024
Active	National Health Insurance Company	300554	Agent - Health	9/10/2017
Active	North River Insurance Company (The)	301739	Agent - Health	7/18/2023
Active	SilverScript Insurance Company	663526	Agent - Health	5/9/2024
Inactive	Starr Indemnity and Liability Company	301685	Agent - Health	7/31/2014	10/19/2016
Inactive	Time Insurance Company	300683	Agent - Health	1/28/2014	11/22/2019
Inactive	Time Insurance Company	300683	Agent - Life	1/28/2014	11/22/2019
Active	Unified Life Insurance Company	543169	Agent - Health	4/18/2017
Active	United States Fire Insurance Company	582240	Agent - Health	2/9/2022
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	11/12/2015	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	11/12/2015	11/4/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	5/29/2015	7/14/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Health	5/29/2015	7/14/2015
Inactive	Homeland Healthcare, LLC	736705	Agent - Life	3/21/2013	12/9/2015
Inactive	Homeland Healthcare, LLC	736705	Agent - Health	3/21/2013	12/9/2015
Inactive	Precise Solutions Group LLC	786316	Agent - Life	2/27/2014	3/31/2016
Inactive	Precise Solutions Group LLC	786316	Agent - Health	2/27/2014	3/31/2016