black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JERRY G. SHAFER

PRODUCER NON-RESIDENT

License Number:
PRN114292
Status:
Active
First Licensure:
05/27/2005
Cancel Date:
None

Mailing:
MAITLAND, FL 32751
Phone:
+1 (407) 805-8900
Fax:
+1 (407) 805-0045
Email:
jay.shafer@protective.com

History
License Type Start Date End Date
PRODUCER NON-RESIDENT 05/27/2005

Agency
Name Issue Date License Number Expiration Date Cancel Date
AMACORE GROUP INC
 09/24/2008 AGN158318 04/19/2013
THE SMART HEALTH AGENCY INC
 10/26/2005 AGN76446 07/01/2007

Employer
Name Issue Date License Number Expiration Date Cancel Date
AMERICAN GENERAL ASSURANCE COMPANY
 09/05/2009 LHF663 12/31/2012
AMERICAN GENERAL LIFE INSURANCE COMPANY
 01/01/2013 LHF119 01/14/2022
AMERICAN GENERAL LIFE INSURANCE COMPANY OF DELAWARE
 09/05/2009 LHF77803 12/31/2012
AMERICAN PUBLIC LIFE INSURANCE COMPANY
 06/16/2008 LHF116646 09/08/2011
CONTINENTAL AMERICAN INSURANCE COMPANY
 11/10/2010 LHF80843 06/29/2023
EMPIRE GENERAL LIFE ASSURANCE CORPORATION
 08/05/2005 LHF51007 01/01/2007
FIDELITY LIFE ASSOCIATION A LEGAL RESERVE LIFE INS CO
 10/06/2011 LHF170 07/30/2013
GOLDEN RULE INSURANCE COMPANY
 10/26/2016 LHF918
HUMANA INSURANCE COMPANY
 05/05/2009 LHF980 09/22/2012
HUMANADENTAL INSURANCE COMPANY
 06/15/2011 LHF173873 09/22/2012
STANDARD SECURITY LIFE INSURANCE COMPANY OF NEW YORK
 12/16/2011 LHF267 10/23/2017
STARR INDEMNITY & LIABILITY COMPANY
 09/30/2011 PCF1010 07/07/2016
TIME INSURANCE COMPANY
 09/13/2011 LHF276 09/12/2014
UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NY
 09/05/2009 LHF654

Authority
Description Issue Date Termination Date Status
HEALTH 05/27/2005 Active
LIFE 05/27/2005 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
7705811

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 11/03/2025 04:33:03 AM