DEPARTMENT OF INSURANCE

Affiliations

Name	Shouse, Scott R	DOIID	744494	NAIC NPN	1577491

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	5/15/2014	7/31/2026
Active	Non Resident	Agent	Health	5/15/2014	7/31/2026
Active	Non Resident	Agent	Property	5/22/2019	7/31/2026
Active	Non Resident	Agent	Casualty	5/22/2019	7/31/2026
* 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	05/15/2024	07/31/2024	06/05/2024	06/05/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	All Savers Insurance Company	301940	Agent - Health	10/3/2014
Active	All Savers Insurance Company	301940	Agent - Life	10/3/2014
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	3/20/2018
Active	Guardian Life Insurance Company of America	301316	Agent - Health	7/23/2019
Active	Guardian Life Insurance Company of America	301316	Agent - Life	7/23/2019
Active	HCC Life Insurance Company	301827	Agent - Health	2/1/2019
Active	HCC Life Insurance Company	301827	Agent - Life	2/1/2019
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/23/2020
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/3/2020	12/15/2020
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/3/2020	12/15/2020
Active	Humana Insurance Company	301104	Agent - Health	10/23/2020
Inactive	Humana Insurance Company	301104	Agent - Life	8/20/2014	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/3/2020	12/15/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/3/2020	12/15/2020
Active	Humana Medical Plan, Inc.	801568	Agent - Health	10/23/2020
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/23/2020
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/20/2014	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	8/20/2014	10/22/2015
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	2/13/2017
Active	Transamerica Life Insurance Company	300571	Agent - Health	12/17/2021
Active	Transamerica Life Insurance Company	300571	Agent - Life	12/17/2021
Active	Trustmark Insurance Company	300317	Agent - Health	10/3/2014
Active	Trustmark Insurance Company	300317	Agent - Life	10/3/2014
Active	United of Omaha Life Insurance Company	300156	Agent - Health	12/20/2017
Active	United of Omaha Life Insurance Company	300156	Agent - Life	12/20/2017
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/29/2017	3/27/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	3/29/2017	3/27/2023
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/8/2014	11/30/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/8/2014	11/30/2016
Active	Vision Service Plan Insurance Company	300526	Agent - Health	10/5/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Assuredpartners Nl, Llc	762387	Agent - Life	9/18/2018
Active	Assuredpartners Nl, Llc	762387	Agent - Health	9/18/2018