DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Shawan-Marquis Agcy Inc	DOIID	818740	NAIC NPN	1873172

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/27/2013	3/31/2017
Inactive	Non Resident	Agent	Life	8/27/2013	3/31/2017
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/22/2013	11/3/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/22/2013	11/3/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/22/2013	11/3/2016

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Jennings, Travis Cary	524442	Agent - Health	8/27/2013	3/31/2017
Inactive	Jennings, Travis Cary	524442	Agent - Life	8/27/2013	3/31/2017