DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Maddox, Shontovia	DOIID	1247355	NAIC NPN	19357698

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/20/2026		10/31/2028
Active	Non Resident	Agent	Life	8/20/2026		10/31/2028
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	12/28/2022	4/24/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	12/28/2022	4/24/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	12/28/2022	4/24/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	12/28/2022	4/24/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending	Tpusa, Inc.	551795	Agent - Health
Pending	Tpusa, Inc.	551795	Agent - Life