DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Thomas, Shannon	DOIID	1029502	NAIC NPN	18139764

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	2/19/2019	10/31/2020
Inactive	Non Resident	Agent	Health	2/19/2019	10/31/2020
* 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	Anthem Life Insurance Company	301209	Agent - Health	3/2/2019	10/25/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/2/2019	10/25/2019
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	4/26/2019	10/1/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	2/27/2019	9/30/2019
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/6/2019	9/30/2019
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	2/27/2019	9/30/2019
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	2/27/2019	9/30/2019

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 - Life	3/4/2019	10/25/2019
Inactive	Designated Agent Company Inc.	681257	Agent - Health	3/4/2019	10/25/2019