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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
2/28/2025
Active
Non Resident
Agent
Life
12/13/2018
2/28/2025
* If a status Is
Pending, Pending Replacement
,Or the record displays
Affidavit On File
, click On them For more details.
License Renewal Information
Class
Invoice Date
Response Due / Expiration Date
Response Received Date
Payment Received Date
Renewal Complete
Agent
12/15/2024
02/28/2025
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 Life Insurance Company
301209
Agent - Health
2/13/2020
Active
Anthem Life Insurance Company
301209
Agent - Life
2/13/2020
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
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