DEPARTMENT OF INSURANCE

Affiliations

Name	Shaughnessy, Paul K	DOIID	356932	NAIC NPN	1892661

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Administrator	Not Applicable	8/15/1996	2/1/2011
Active	Resident	Agent	Life	7/1/2011		2/28/2026
Active	Resident	Agent	Health	7/1/2011		2/28/2026
Denied	Resident	Agent	Property
Denied	Resident	Agent	Casualty
Inactive	Resident	Agent	Health Maintenance Organization	7/17/1990	3/1/2001
Inactive	Resident	Agent	General Lines	1/12/1995	3/31/1996
* 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	American States Life Insurance Company	301884	Agent - Health	11/1/1998	11/26/2001
Inactive	American States Life Insurance Company	301884	Agent - Life	11/1/1998	11/26/2001
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/1/2001	4/1/2002
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	8/7/1990	3/1/2001
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/24/2000	2/1/2011
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/24/2000	2/1/2011
Active	Banner Life Insurance Company	301696	Agent - Life	7/17/2017
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	3/6/2001	2/1/2011
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	7/11/2011	9/16/2013
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	7/11/2011	9/16/2013
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	6/16/2006	2/1/2011
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	6/16/2006	2/1/2011
Inactive	Colorado Bankers Life Insurance Company	301845	Agent - Health	8/24/2015	1/16/2019
Inactive	Colorado Bankers Life Insurance Company	301845	Agent - Life	8/24/2015	1/16/2019
Active	Combined Insurance Company of America	301472	Agent - Health	1/26/2016
Active	Combined Insurance Company of America	301472	Agent - Life	1/26/2016
Inactive	Companion Life Insurance Company	300191	Agent - Health	11/9/2015	12/13/2022
Inactive	Companion Life Insurance Company	300191	Agent - Life	11/9/2015	12/13/2022
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	11/18/2016	2/1/2017
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	11/18/2016	2/1/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/8/2005	11/10/2008
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/8/2005	11/10/2008
Inactive	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Life	7/11/2011	6/25/2015
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	7/11/2011	6/25/2015
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	7/11/2011	6/25/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/11/2011	8/20/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	7/17/1990	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	7/11/2011	8/20/2012
Inactive	Humana Insurance Company	301104	Agent - Life	7/11/2011	8/20/2012
Inactive	Legion Insurance Company	301490	Agent - Health	3/19/2001	7/1/2003
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	6/2/2010	6/28/2010
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	6/2/2010	6/28/2010
Inactive	Monroe Guaranty Insurance Company	300771	Agent - General Lines	1/12/1995	3/31/1996
Inactive	National Health Insurance Company	300554	Agent - Health	8/18/2015	1/18/2019
Inactive	National Health Insurance Company	300554	Agent - Life	8/18/2015	1/18/2019
Inactive	National Teachers Associates Life Insurance Company	300107	Agent - Health	3/11/2015	11/16/2015
Inactive	National Teachers Associates Life Insurance Company	300107	Agent - Life	3/11/2015	11/16/2015
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	5/6/1999	12/7/2006
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	5/6/1999	12/7/2006
Inactive	Protective Life Insurance Company	300638	Agent - Health	5/2/2017	11/23/2019
Inactive	Protective Life Insurance Company	300638	Agent - Life	5/2/2017	11/23/2019
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	3/28/2006	12/30/2009
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	3/28/2006	12/30/2009
Active	Pruco Life Insurance Company	300954	Agent - Life	6/13/2018
Inactive	Prudential Insurance Company of America	300784	Agent - Health	12/21/1999	2/1/2011
Inactive	Prudential Insurance Company of America	300784	Agent - Life	12/21/1999	2/1/2011
Active	Reliance Standard Life Insurance Company	300584	Agent - Health	1/16/2015
Active	Reliance Standard Life Insurance Company	300584	Agent - Life	1/16/2015
Inactive	Reserve National Insurance Company	301073	Agent - Health	7/3/2017	8/9/2017
Inactive	Reserve National Insurance Company	301073	Agent - Life	7/3/2017	8/9/2017
Inactive	Symetra Life Insurance Company	301691	Agent - Health	7/14/1989	4/22/2009
Inactive	Symetra Life Insurance Company	301691	Agent - Life	7/14/1989	4/22/2009
Inactive	Time Insurance Company	300683	Agent - Health	8/26/2015	11/22/2019
Inactive	Time Insurance Company	300683	Agent - Life	8/26/2015	11/22/2019
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	10/11/2001	10/25/2004
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	10/11/2001	10/25/2004
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	1/25/1991	12/30/2009
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	1/25/1991	12/30/2009
Inactive	Union Security Insurance Company	301844	Agent - Health	6/18/2009	2/1/2011
Inactive	Union Security Insurance Company	301844	Agent - Life	6/18/2009	2/1/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/19/2001	2/1/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	10/19/2001	2/1/2011
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/15/2000	2/1/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia of Louisville Inc.	401252	Agent - Life	5/26/1994	2/28/2003
Inactive	Acordia of Louisville Inc.	401252	Agent - Health	5/26/1994	2/28/2003
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	5/15/2000	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	5/15/2000	6/23/2008
Active	Dental Choice Agency Inc.	398085	Agent - Health	1/5/2022
Active	Designated Agent Company Inc.	681257	Agent - Life	12/13/2013
Active	Designated Agent Company Inc.	681257	Agent - Health	12/13/2013
Denied	Employers First Inc.	397889	Administrator - Not Applicable
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	Medlink Inc	400721	Agent - Life	7/11/2011	3/31/2024
Inactive	Medlink Inc	400721	Agent - Health	7/11/2011	3/31/2024
Inactive	National Teacher Associates of Kentucky Inc.	399320	Agent - Life	3/12/2015	10/14/2015
Inactive	National Teacher Associates of Kentucky Inc.	399320	Agent - Health	3/12/2015	10/14/2015
Inactive	Ushealth Advisors Llc	713288	Agent - Life	11/22/2016	3/30/2019
Inactive	Ushealth Advisors Llc	713288	Agent - Health	11/22/2016	3/30/2019
Inactive	Wells Fargo Insurance Services Of Kentucky Inc	399414	Agent - Life	4/25/2008	3/2/2010
Inactive	Wells Fargo Insurance Services Of Kentucky Inc	399414	Agent - Health	4/25/2008	3/2/2010