DEPARTMENT OF INSURANCE

Affiliations

Name	Bourne, Shannon	DOIID	1257091	NAIC NPN	20526170

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	2/19/2023	2/28/2027
Active	Non Resident	Agent	Life	2/19/2023	2/28/2027
* 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	ACE Property and Casualty Insurance Company	300520	Agent - Health	8/5/2023	4/7/2025
Active	Aetna Health Inc. (PA)	660717	Agent - Health	2/23/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	2/23/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	2/23/2023
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/30/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	2/21/2023	5/7/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/30/2024
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	5/16/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	2/20/2023
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	6/30/2024
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	7/15/2024
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	5/9/2024
Active	Golden Rule Insurance Company	301943	Agent - Health	8/27/2024
Active	Golden Rule Insurance Company	301943	Agent - Life	8/27/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/23/2023	4/19/2024
Active	Humana Insurance Company	301104	Agent - Health	5/20/2024
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	3/11/2025
Active	SilverScript Insurance Company	663526	Agent - Health	2/23/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	2/20/2023
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	2/20/2023
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	3/8/2023	5/29/2024
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/28/2023	5/29/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Assurance IQ, LLC	919554	Agent - Life
Inactive	Assurance IQ, LLC	919554	Agent - Health	3/22/2023	5/15/2024