DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Sietmann, Shannon	DOIID	1090650	NAIC NPN	19575379

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/24/2020		12/31/2025
Active	Non Resident	Agent	Life	7/24/2020		12/31/2025
* 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	10/15/2025	12/31/2025

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	8/17/2020	10/7/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/17/2020	10/7/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/17/2020	10/7/2024
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/5/2020
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/24/2021	12/19/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/24/2021	5/15/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/5/2020	9/5/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/5/2020	9/5/2020
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	9/24/2020
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022	2/17/2025
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/24/2021	5/15/2024
Active	Loyal American Life Insurance Company	301172	Agent - Health	9/15/2020
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/17/2020	10/7/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/5/2020	2/17/2025
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/5/2020	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/5/2020	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/5/2020	2/17/2025
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	8/19/2020	12/30/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	8/19/2020	3/5/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Aptia Insurance Services Group LLC	1283785	Agent - Life
Active	Aptia Insurance Services Group LLC	1283785	Agent - Health	3/7/2024