DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Shields, Ann Marie	DOIID	1021717	NAIC NPN	18977726

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	12/13/2018		2/28/2027
Active	Non Resident	Agent	Life	12/13/2018		2/28/2027
* 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	American General Life Insurance Company	301585	Agent - Health	12/26/2018	1/14/2022
Inactive	American General Life Insurance Company	301585	Agent - Life	12/26/2018	1/14/2022
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/14/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/13/2020	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/13/2020	4/15/2025
Inactive	Aspen American Insurance Company	301513	Agent - Health	7/17/2020	12/14/2020
Active	CareSource Kentucky Co.	838179	Agent - Health	10/20/2021
Active	Golden Rule Insurance Company	301943	Agent - Health	6/21/2019
Active	Golden Rule Insurance Company	301943	Agent - Life	6/21/2019
Inactive	LifeShield National Insurance Company	737111	Agent - Health	3/19/2019	12/21/2021
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	11/4/2021
Inactive	Pan-American Life Insurance Company	301530	Agent - Health	5/3/2021	5/26/2023
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	2/18/2019	11/18/2020
Inactive	United States Fire Insurance Company	582240	Agent - Health	7/20/2021	3/15/2022
Active	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	10/15/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Designated Agent Company Inc.	681257	Agent - Health	2/13/2020
Active	Designated Agent Company Inc.	681257	Agent - Life	2/13/2020
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	4/16/2019	4/28/2022