DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Collins, Shontavia Tenikia	DOIID	1149930	NAIC NPN	19978223

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/9/2021		9/30/2025
* 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	07/15/2025	09/30/2025

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	10/12/2023	9/11/2024
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	9/16/2021	3/23/2022
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/12/2023	9/11/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/12/2023	9/11/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/13/2023	10/8/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/13/2023	10/8/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/13/2023	10/8/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	9/13/2023	3/29/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/13/2023	10/8/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	9/16/2021	3/23/2022
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/12/2023	9/11/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/13/2023	3/29/2024
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/13/2023	3/29/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	9/29/2023	10/28/2024
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	9/29/2023	10/28/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gohealth LLC	691445	Agent - Health	9/29/2023	4/26/2024