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
Active	Non Resident	Agent	Life	9/13/2013		6/30/2027
Active	Non Resident	Agent	Health	9/13/2013		6/30/2027
* 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	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
Active	MEMBERS Life Insurance Company	301289	Agent - Life	8/1/2025
Inactive	Omaha Insurance Company	751908	Agent - Health	11/24/2015	8/8/2018
Active	Tier One Insurance Company	301056	Agent - Health	7/22/2025
Active	Tier One Insurance Company	301056	Agent - Life	7/22/2025
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