DEPARTMENT OF INSURANCE

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.

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