DEPARTMENT OF INSURANCE

Affiliations

Name	Shaw, Courtney Eileen	DOIID	715747	NAIC NPN	14924069

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/14/2009		4/30/2027
* 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	02/15/2025	04/30/2025	03/05/2025	03/05/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	2/3/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	2/3/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	2/3/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/3/2014	11/3/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/3/2014	5/9/2017
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	9/6/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	5/6/2024
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	6/26/2015	3/23/2016
Inactive	CompBenefits Insurance Company	301864	Agent - Health	4/7/2010	6/26/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/26/2015	3/23/2016
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	9/18/2024
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/15/2013	7/7/2022
Inactive	Gerber Life Insurance Company	300529	Agent - Health	12/15/2009	8/15/2012
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	10/11/2023
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/22/2018	10/11/2023
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/13/2018	12/10/2018
Active	Humana Insurance Company	301104	Agent - Health	4/8/2024
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/25/2010	6/8/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	2/22/2019	10/11/2023
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	12/2/2021	12/13/2022
Inactive	HumanaDental Insurance Company	301457	Agent - Health	9/1/2011	2/24/2012
Inactive	Individual Assurance Company Life Health & Accident	300580	Agent - Health	12/30/2014	11/21/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	6/26/2015	12/2/2015
Inactive	Medico Corp Life Insurance Company	301777	Agent - Health	11/26/2014	8/3/2016
Inactive	Medico Insurance Company	301559	Agent - Health	11/26/2014	8/3/2016
Inactive	Omaha Insurance Company	751908	Agent - Health	7/12/2012	6/24/2013
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	11/30/2009	3/16/2011
Active	SilverScript Insurance Company	663526	Agent - Health	2/3/2024
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	12/16/2009	12/26/2012
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	3/26/2025
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/18/2013	3/4/2016
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/26/2024
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	7/27/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	3/3/2014	11/2/2016
Inactive	Trubridge Inc	717747	Agent - Health	2/1/2010	10/11/2023