DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Ewick, Shirley Anne	DOIID	826619	NAIC NPN	17101204

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	8/22/2018	5/31/2020
Inactive	Non Resident	Agent	Casualty	8/22/2018	5/31/2020
Inactive	Non Resident	Agent	Life	3/25/2019	5/31/2020
Inactive	Non Resident	Agent	Health	11/4/2013	5/31/2016
* 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	CIGNA Health & Life Insurance Company	301783	Agent - Health	11/18/2014	5/31/2016
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	11/18/2014	5/31/2016
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Life	4/2/2019	5/31/2020
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	11/3/2014	12/8/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/3/2014	12/8/2015
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/11/2013	11/11/2015
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/11/2013	11/11/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/3/2014	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/3/2014	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/3/2014	12/8/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/3/2014	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	11/3/2014	10/22/2015
Inactive	Progressive Direct Insurance Company	301379	Agent - Casualty	8/28/2018	2/26/2019
Inactive	Progressive Direct Insurance Company	301379	Agent - Property	8/28/2018	2/26/2019
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/25/2015	11/11/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Property	8/31/2018	2/26/2019
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	8/31/2018	2/26/2019