DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hines, Shannon	DOIID	767071	NAIC NPN	16424279

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/4/2018	9/30/2022
* 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. (PA)	660717	Agent - Health	9/8/2014	9/30/2014
Inactive	Aetna Health Insurance Company	301583	Agent - Health	9/8/2014	9/30/2014
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	12/14/2018	12/15/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/8/2014	9/30/2014
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/30/2019	12/28/2019
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	8/17/2021	3/28/2022
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	12/14/2018	12/15/2020
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/8/2014	9/30/2014
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/25/2013	9/30/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/25/2013	9/30/2014
Inactive	Humana Insurance Company	301104	Agent - Health	9/25/2013	9/30/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/25/2013	9/30/2014
Inactive	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	11/25/2020	3/28/2022
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	1/2/2019	9/30/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/25/2020	3/28/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	11/25/2020	3/28/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/25/2020	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	11/25/2020	3/28/2022

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	1/30/2019	9/30/2022
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	11/12/2018	4/18/2019