DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Shaw, Jeanette A	DOIID	640728	NAIC NPN	8164427

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	9/25/2006	2/28/2013
Inactive	Non Resident	Agent	Health	9/25/2006	2/28/2013
* 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	Aetna Health Inc.	300694	Agent - Health	10/17/2006	12/31/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	9/22/2008
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/17/2006	9/22/2008
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/17/2006	9/22/2008
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	3/11/2009	11/16/2011
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	3/11/2009	11/16/2011
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/18/2006	8/31/2011
Inactive	Humana Insurance Company	301104	Agent - Health	10/18/2006	8/31/2011
Inactive	Humana Insurance Company	301104	Agent - Life	10/18/2006	8/31/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/18/2006	8/31/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/18/2006	8/31/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/23/2006	9/11/2008
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	10/23/2006	9/11/2008
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/23/2006	9/11/2008
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/23/2006	9/11/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Paychex Insurance Agency Inc	509469	Agent - Health	11/20/2006	11/16/2011
Inactive	Paychex Insurance Agency Inc	509469	Agent - Life	11/20/2006	11/16/2011