DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Bostic, Shameron	DOIID	1319586	NAIC NPN	13983713

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/17/2024		5/31/2027
Active	Non Resident	Agent	Life	1/17/2024		5/31/2027
* 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	03/15/2025	05/31/2025	03/18/2025	03/18/2025	Yes

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	1/23/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	1/23/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	1/23/2024
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	9/13/2024
Active	SilverScript Insurance Company	663526	Agent - Health	1/23/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Hylant Group, Inc.	523019	Agent - Life
Active	Hylant Group, Inc.	523019	Agent - Health	2/1/2024