DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Tolliver, Shelly	DOIID	1033383	NAIC NPN	19075042

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	3/20/2019		11/30/2024
* 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	09/15/2024	11/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	5/19/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/30/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	5/19/2020
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/9/2019	11/10/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/24/2021	11/10/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/24/2021	11/10/2023
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	12/12/2019	12/15/2020
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022	8/16/2023
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/24/2021	11/10/2023
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	11/18/2020	12/13/2022
Active	SilverScript Insurance Company	663526	Agent - Health	5/19/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/10/2019	8/16/2023
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	10/10/2019	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/10/2019	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/10/2019	8/16/2023
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/6/2019	12/30/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/6/2019	12/28/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Choice Health Ins	967817	Agent - Health	3/31/2022	6/23/2023
Active	Designated Agent Company Inc.	681257	Agent - Health	10/16/2019