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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	12/15/2026	02/28/2027

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
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	5/16/2024	4/14/2026
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	2/20/2023	5/14/2026
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
Inactive	Golden Rule Insurance Company	301943	Agent - Health	8/27/2024	10/15/2025
Inactive	Golden Rule Insurance Company	301943	Agent - Life	8/27/2024	10/15/2025
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/23/2023	4/19/2024
Inactive	Humana Insurance Company	301104	Agent - Health	5/20/2024	4/14/2026
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	3/11/2025	2/4/2026
Active	SilverScript Insurance Company	663526	Agent - Health	2/23/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	2/20/2023	5/14/2026
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	2/20/2023	5/14/2026
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