DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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
Inactive	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.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	5/19/2020	11/30/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/30/2020	11/30/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	5/19/2020	11/30/2024
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
Inactive	SilverScript Insurance Company	663526	Agent - Health	5/19/2020	11/30/2024
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
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/16/2019	11/30/2024