DEPARTMENT OF INSURANCE

Affiliations

Name	Klopp, Shayne Michael	DOIID	906556	NAIC NPN	17847052

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	2/11/2016	8/31/2022
Inactive	Non Resident	Agent	Life	2/11/2016	8/31/2022
* 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	5 Star Life Insurance Company	300673	Agent - Health	8/19/2016	7/26/2017
Inactive	5 Star Life Insurance Company	300673	Agent - Life	8/19/2016	7/26/2017
Inactive	ACE American Insurance Company	300625	Agent - Health	6/5/2017	7/24/2018
Inactive	AXA XL Insurance Company Americas	300979	Agent - Health	7/10/2017	7/26/2018
Inactive	AXIS Insurance Company	301290	Agent - Health	6/15/2020	8/31/2022
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	3/5/2019	7/23/2020
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Health	9/28/2016	8/31/2022
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Health	1/12/2017	1/26/2017
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	1/12/2017	5/2/2017
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/5/2021	8/31/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/5/2021	8/31/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/5/2021	8/31/2022
Inactive	Aspen American Insurance Company	301513	Agent - Health	6/26/2019	12/1/2020
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	4/11/2018	8/23/2018
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	4/11/2018	8/23/2018
Inactive	Companion Life Insurance Company	300191	Agent - Health	9/20/2019	10/14/2021
Inactive	Companion Life Insurance Company	300191	Agent - Life	9/20/2019	10/14/2021
Inactive	Federal Insurance Company	301144	Agent - Health	9/25/2018	11/11/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Health	1/29/2020	9/1/2022
Inactive	Golden Rule Insurance Company	301943	Agent - Life	1/29/2020	9/1/2022
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	9/16/2018	12/28/2018
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	9/16/2018	12/28/2018
Inactive	HCC Life Insurance Company	301827	Agent - Health	3/22/2016	5/31/2016
Inactive	Independent Order of Foresters	300743	Agent - Life	5/22/2018	12/28/2021
Inactive	LifeShield National Insurance Company	737111	Agent - Health	11/29/2018	12/21/2021
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	11/16/2016	1/19/2017
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	11/16/2016	1/19/2017
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	9/16/2020	8/31/2022
Inactive	National Health Insurance Company	300554	Agent - Health	9/2/2016	9/28/2017
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	8/18/2016	4/10/2017
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	6/10/2016	8/31/2022
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	6/10/2016	6/6/2017
Inactive	United States Fire Insurance Company	582240	Agent - Health	9/22/2020	8/31/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	2/27/2019	8/16/2022