DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Ford, Shantell	DOIID	1103954	NAIC NPN	19343329

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/2/2022		11/30/2025
* 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	09/15/2025	11/30/2025

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	6/11/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	6/11/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	6/11/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/11/2023	12/16/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	4/11/2023	12/16/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	4/11/2023	12/16/2024
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	4/12/2023
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	3/7/2023
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	5/23/2023	1/6/2025
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	4/11/2023	12/16/2024
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	10/8/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	7/7/2023	12/12/2024
Inactive	Humana Insurance Company	301104	Agent - Health	10/4/2023	12/12/2024
Active	Humana Medical Plan, Inc.	801568	Agent - Health	3/14/2024
Active	SilverScript Insurance Company	663526	Agent - Health	6/11/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	3/7/2023
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/7/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	10/20/2022	1/31/2023
Inactive	Togetherhealth Insurance LLC	1026438	Agent - Health	11/14/2022	1/24/2023