DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Shaw, Jeremy Clay	DOIID	1016613	NAIC NPN	3620141

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/24/2018	9/30/2021
* 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	AXIS Insurance Company	301290	Agent - Health	11/26/2018	10/10/2019
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	12/1/2018	9/30/2021
Inactive	Federal Insurance Company	301144	Agent - Health	11/6/2018	9/30/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Health	1/31/2019	8/11/2021
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	9/18/2019	9/30/2021
Inactive	Southern Guaranty Insurance Company	969411	Agent - Health	1/11/2019	10/9/2020
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	3/20/2019	9/30/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/3/2018	9/30/2021