DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Ferguson, Shawn	DOIID	770064	NAIC NPN	8321549

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	10/14/2019		9/30/2025
Active	Non Resident	Agent	Health	10/14/2019		9/30/2025
* 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	07/15/2025	09/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Heritage Life Insurance Company	300272	Agent - Health	12/31/2020
Active	American Heritage Life Insurance Company	300272	Agent - Life	12/31/2020
Active	Boston Mutual Life Insurance Company	300143	Agent - Health	2/27/2020
Active	Boston Mutual Life Insurance Company	300143	Agent - Life	2/27/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/20/2019	11/30/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	11/20/2019	11/30/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/20/2019	11/30/2021
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	11/20/2019	11/30/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Acrisure LLC	696181	Agent - Life	1/2/2020
Active	Acrisure LLC	696181	Agent - Health	1/2/2020
Inactive	Bayside Benefit Solutions LLC	773032	Agent - Life	1/19/2012	3/6/2013
Inactive	Bayside Benefit Solutions LLC	773032	Agent - Health	1/19/2012	3/6/2013