DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Long, Shamir R	DOIID	874527	NAIC NPN	16328200

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	11/21/2023		10/31/2027
Inactive	Non Resident	Agent	Personal Lines	4/9/2015	5/16/2019
* 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
Active	EMC National Life Company	300388	Agent - Life	3/4/2025
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	2/10/2025
Inactive	GEICO Indemnity Company	301720	Agent - Personal Lines	5/12/2015	8/8/2018
Active	Transamerica Life Insurance Company	300571	Agent - Life	12/31/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Amplify Life Insurance Services	1122260	Agent - Life	6/5/2026