PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameBradley, Shantay DOIID823117NAIC NPN16779267
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife11/16/20164/30/2019 
Pending ReplacementNon ResidentAgentHealth1/18/2024 4/30/2025
* 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
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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