black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

EDWARD LEE SHACKELFORD

PRODUCER NON-RESIDENT

License Number:
PRN24933
Status:
First Licensure:
07/19/1989
Cancel Date:
None

Mailing:
ARCHDALE, NC 27263
Phone:
+1 (336) 474-2333
Fax:
+1 (336) 474-1796
Email:
elshackelford@assuregrp.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 12/13/2004
*** NOT ACTIVE *** 03/15/1997 12/12/2004
PRODUCER NON-RESIDENT 07/19/1989 03/14/1997

Agency

Name Issue Date License Number Expiration Date Cancel Date
ASSURANCE GROUP LLC
06/22/2005 AGN115368

Employer

Name Issue Date License Number Expiration Date Cancel Date
AETNA HEALTH INC
06/22/2017 HMD45749
AETNA LIFE INSURANCE COMPANY
06/22/2017 LHF621
AMERICAN NATIONAL INSURANCE COMPANY
12/30/2005 LHF11 06/27/2013
AMERICAN NATIONAL INSURANCE COMPANY
07/16/2013 LHF11
AMERICAN PROGRESSIVE LIFE & HEALTH INS COMPANY OF NEW YORK
11/21/2012 LHF374 02/11/2013
AMERICAN PROGRESSIVE LIFE & HEALTH INS COMPANY OF NEW YORK
07/24/2014 LHF374 02/12/2015
AMERICO FINANCIAL LIFE AND ANNUITY INSURANCE COMPANY
09/11/2006 LHF139 01/05/2012
AMH HEALTH PLANS OF MAINE, INC.
12/08/2020 LHD353013
AMH HEALTH, LLC
07/16/2023 HMD329485 03/15/2025
ANTHEM HEALTH PLANS OF MAINE INC.
04/15/2018 LHD70566
ANTHEM INSURANCE COMPANIES INC
07/16/2023 LHF125537
ANTHEM LIFE INSURANCE COMPANY
12/08/2020 LHF70467 03/14/2025
ARCADIAN HEALTH PLAN INC
10/11/2012 HMF112421
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY
09/24/2013 LHF214634 12/01/2016
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY
07/20/2021 LHF214634
CHESAPEAKE LIFE INSURANCE COMPANY
04/27/2020 LHF699 02/01/2021
COMBINED INSURANCE COMPANY OF AMERICA
07/14/2016 LHF144 02/17/2025
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
11/06/2008 LHF149 05/16/2014
CONSECO HEALTH INSURANCE COMPANY
12/14/2006 LHF954 11/16/2009
CONSECO INSURANCE COMPANY
12/14/2006 LHF45791 07/29/2009
CONTINENTAL GENERAL INSURANCE COMPANY
12/26/2006 LHF47739 10/30/2009
FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY
05/14/2008 LHF842 07/06/2009
FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY
05/08/2013 LHF842
GERBER LIFE INSURANCE COMPANY
07/26/2018 LHF185
HUMANA BENEFIT PLAN OF ILLINOIS INC
10/10/2014 LHF202755 01/18/2018
HUMANA INSURANCE COMPANY
09/16/2005 LHF980
HUMANADENTAL INSURANCE COMPANY
05/26/2011 LHF173873
INDEPENDENT ORDER OF FORESTERS (THE)
06/16/2009 FRF29319
INSURANCE COMPANY OF NORTH AMERICA
08/27/2025 PCF480
INTEGRITY LIFE INSURANCE COMPANY
08/09/2024 LHF262166
LOYAL AMERICAN LIFE INSURANCE COMPANY
04/13/2018 LHF207 10/27/2021
PACIFICARE LIFE AND HEALTH INSURANCE COMPANY
09/23/2006 LHF102906 06/14/2010
PENNSYLVANIA LIFE INSURANCE COMPANY
12/07/2008 LHF243 11/25/2013
S.USA LIFE INSURANCE COMPANY INC
09/14/2017 LHF48161 12/30/2019
SIERRA HEALTH AND LIFE INSURANCE COMPANY INC.
02/13/2014 LHF58195
SILVERSCRIPT INSURANCE COMPANY
02/05/2020 LHF132429
SYMETRA LIFE INSURANCE COMPANY
12/05/2006 LHF777 03/19/2010
TIME INSURANCE COMPANY
06/18/2009 LHF276 06/25/2015
UNITED AMERICAN INSURANCE COMPANY
08/23/2006 LHF871
UNITEDHEALTHCARE INSURANCE COMPANY
01/07/2005 LHF700
UNITEDHEALTHCARE INSURANCE COMPANY OF AMERICA
09/15/2016 LHF983 12/28/2021
UNITEDHEALTHCARE OF WISCONSIN, INC.
07/21/2022 HMF376407
WELLCARE PRESCRIPTION INSURANCE INC
11/22/2008 LHF121869 05/11/2010
WELLCARE PRESCRIPTION INSURANCE INC
12/19/2018 LHF121869

Authority

Description Issue Date Termination Date Status
HEALTH 12/13/2004 Active
LIFE 12/13/2004 Active
HEALTH 01/01/1901 03/15/1997 Terminated

Responsible For

Name License Number
ASSURANCE GROUP LLC AGN115368

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
371012

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: 10/23/2025 03:10:46 AM