DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Shannon, Elmer	DOIID	820626	NAIC NPN	17057970

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Life	9/13/2013		6/30/2025
Pending Replacement	Non Resident	Agent	Health	9/13/2013		6/30/2025
* 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	04/15/2025	06/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CMFG Life Insurance Company	300929	Agent - Health	2/14/2018	5/3/2024
Inactive	CMFG Life Insurance Company	300929	Agent - Life	2/14/2018	5/3/2024
Inactive	Omaha Insurance Company	751908	Agent - Health	11/24/2015	8/8/2018
Inactive	United World Life Insurance Company	300532	Agent - Health	8/1/2019	11/1/2020

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 - Health	2/27/2018	5/3/2024
Inactive	Sutherland Global Services Inc	601788	Agent - Life	2/27/2018	5/3/2024