DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Fortier, Shelby Joann	DOIID	1340175	NAIC NPN	19467091

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	5/5/2026		6/30/2028
Active	Non Resident	Agent	Health	5/13/2024		6/30/2028
* 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	04/15/2026	06/30/2026	05/05/2026	05/05/2026	Yes

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	5/24/2024	9/17/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	5/24/2024	9/17/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	5/24/2024	9/17/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/26/2024	4/7/2025
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	5/26/2024	4/7/2025
Active	CMFG Life Insurance Company	300929	Agent - Health	5/14/2026
Active	CMFG Life Insurance Company	300929	Agent - Life	5/14/2026
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	5/21/2024	10/4/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	5/26/2024	4/7/2025
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	8/22/2024
Active	MEMBERS Life Insurance Company	301289	Agent - Health	5/14/2026
Active	MEMBERS Life Insurance Company	301289	Agent - Life	5/14/2026
Inactive	SilverScript Insurance Company	663526	Agent - Health	5/24/2024	9/17/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/21/2024	10/4/2024
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	5/21/2024	10/4/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	7/9/2024	9/8/2025

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	5/24/2024	10/24/2024