DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bradley, Shantay	DOIID	823117	NAIC NPN	16779267

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/18/2024		4/30/2025
Inactive	Non Resident	Agent	Life	11/16/2016	4/30/2019
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/18/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	1/18/2024
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	3/3/2014	12/5/2014
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	1/18/2024
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/3/2014	12/5/2014
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	3/3/2014	12/5/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/3/2014	12/5/2014
Inactive	Humana Insurance Company	301104	Agent - Health	3/3/2014	5/4/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	3/3/2014	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Health	3/3/2014	12/5/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/11/2013	4/30/2015
Denied	Extend Insurance Services, LLC	625753	Agent - Health
Denied	Extend Insurance Services, LLC	625753	Agent - Life