black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MARK W. SHAFER

PRODUCER NON-RESIDENT

License Number:
PRN97630
Status:
First Licensure:
08/18/2003
Cancel Date:
None

Mailing:
DOVER, NH 03820
Phone:
+1 (603) 749-5753

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 08/18/2003

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS
08/28/2003 LHF645 04/01/2018
AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS
04/01/2018 LHF306110
HUMANA INSURANCE COMPANY
05/16/2013 LHF980 12/18/2018
HUMANADENTAL INSURANCE COMPANY
05/16/2013 LHF173873 12/18/2018

Authority

Description Issue Date Termination Date Status
HEALTH 08/18/2003 Active
LIFE 08/18/2003 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
7381983

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: 10/12/2025 06:12:09 AM