DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Thompson, Shannon	DOIID	767115	NAIC NPN	16425507

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/29/2019	9/30/2020
* 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	8/5/2020	9/30/2020
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/5/2020	9/30/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/5/2020	9/30/2020
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/1/2020	9/30/2020
Inactive	Lumico Life Insurance Company	300354	Agent - Health	5/26/2020	11/25/2020
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	10/9/2012	8/22/2013
Inactive	Omaha Insurance Company	751908	Agent - Health	10/9/2012	8/22/2013
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/5/2020	9/30/2020
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/9/2012	8/22/2013
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/10/2013	12/19/2013
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/10/2013	12/19/2013
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/23/2019	7/28/2020
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/23/2019	7/28/2020

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	11/16/2011	10/15/2015