DEPARTMENT OF INSURANCE

Affiliations

Name	Shah, Sapan Niranjan	DOIID	575973	NAIC NPN	7819235

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/10/2018		10/31/2025
Active	Non Resident	Agent	Life	9/10/2018		10/31/2025
Inactive	Non Resident	Agent	Variable Life and Variable Annuities		10/31/2011
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

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	10/11/2018
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	10/6/2021
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/15/2013	10/31/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/15/2013	10/31/2015
Inactive	Banner Life Insurance Company	301696	Agent - Life	10/22/2010	10/31/2011
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/4/2011	10/31/2011
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	10/6/2021
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	10/31/2011
Inactive	Golden Rule Insurance Company	301943	Agent - Health	2/26/2010	5/11/2010
Inactive	Golden Rule Insurance Company	301943	Agent - Life	2/26/2010	5/11/2010
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/22/2008	10/31/2011
Inactive	Humana Insurance Company	301104	Agent - Health	7/9/2008	10/31/2011
Inactive	Humana Insurance Company	301104	Agent - Life	7/9/2008	10/31/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/22/2008	10/31/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/22/2008	10/31/2011
Inactive	HumanaDental Insurance Company	301457	Agent - Health	2/22/2008	10/31/2011
Inactive	HumanaDental Insurance Company	301457	Agent - Life	2/22/2008	10/31/2011
Inactive	John Alden Life Insurance Company	300573	Agent - Health	2/14/2010	10/31/2011
Inactive	John Alden Life Insurance Company	300573	Agent - Life	2/14/2010	10/31/2011
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/4/2011	10/31/2011
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/4/2011	10/31/2011
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	10/6/2011	10/31/2011
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	10/6/2011	10/31/2011
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Variable Life and Variable Annuities	10/6/2011	10/31/2011
Inactive	Midland National Life Insurance Company	300923	Agent - Health	3/8/2011	10/31/2011
Inactive	Midland National Life Insurance Company	300923	Agent - Life	3/8/2011	10/31/2011
Inactive	Pruco Life Insurance Company	300954	Agent - Health	9/12/2003	1/11/2011
Inactive	Pruco Life Insurance Company	300954	Agent - Life	9/12/2003	1/11/2011
Inactive	Pruco Life Insurance Company	300954	Agent - Variable Life and Variable Annuities	9/12/2003	1/11/2011
Inactive	Prudential Insurance Company of America	300784	Agent - Health	9/12/2003	1/11/2011
Inactive	Prudential Insurance Company of America	300784	Agent - Life	9/12/2003	1/11/2011
Inactive	Prudential Insurance Company of America	300784	Agent - Variable Life and Variable Annuities	9/12/2003	1/11/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Designated Agent Company Inc.	681257	Agent - Health	8/7/2023
Denied	Designated Agent Company Inc.	681257	Agent - Life
Inactive	Lincoln Investment Planning, LLC	400826	Agent - Health	2/24/2011	10/31/2011
Inactive	Lincoln Investment Planning, LLC	400826	Agent - Life	2/24/2011	10/31/2011
Denied	Lincoln Investment Planning, LLC	400826	Agent - Variable Life and Variable Annuities
Inactive	Medlink Inc	400721	Agent - Health	1/8/2011	10/31/2011
Inactive	Medlink Inc	400721	Agent - Life	1/8/2011	10/31/2011