PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameBradley, Shantay DOIID823117NAIC NPN16779267
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth1/18/2024 4/30/2025
InactiveNon ResidentAgentLife11/16/20164/30/2019 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent02/15/202504/30/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health1/18/20242/20/2025
InactiveAnthem Insurance Companies, Inc.300941Agent - Health1/18/20242/20/2025
InactiveCompBenefits Dental, Inc.591692Agent - Health3/3/201412/5/2014
InactiveCompcare Health Services Insurance Corporation948751Agent - Health1/18/20242/20/2025
InactiveDental Concern Inc. (The)301641Agent - Health3/3/201412/5/2014
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health3/3/201412/5/2014
InactiveHumana Health Plan, Inc.300142Agent - Health3/3/201412/5/2014
InactiveHumana Insurance Company301104Agent - Health3/3/20145/4/2015
InactiveHumana Insurance Company of Kentucky300826Agent - Health3/3/201412/5/2014
InactiveKanawha Insurance Company300127Agent - Health3/3/201412/5/2014
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Health10/11/20134/30/2015
DeniedExtend Insurance Services, LLC625753Agent - Health  
DeniedExtend Insurance Services, LLC625753Agent - Life  

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