DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Shackelford, Benjamin	DOIID	1357460	NAIC NPN	19615445

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	1/7/2025		11/30/2025
Active	Non Resident	Agent	Health	8/23/2024		11/30/2025
* 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	09/15/2025	11/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/8/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/8/2024
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/8/2024
Active	Humana Insurance Company	301104	Agent - Health	12/4/2024
Active	United of Omaha Life Insurance Company	300156	Agent - Health	1/23/2025
Active	United of Omaha Life Insurance Company	300156	Agent - Life	1/23/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	2/24/2025	6/13/2025
Inactive	TZ Insurance Solutions LLC	727470	Agent - Life	2/24/2025	6/13/2025