DEPARTMENT OF INSURANCE

Affiliations

Name	Kirkham, Shane	DOIID	841251	NAIC NPN	8754469

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	5/21/2014	4/30/2017
Inactive	Non Resident	Agent	Life	5/21/2014	4/30/2017
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	6/27/2014	4/30/2017
Inactive	Aetna Health Insurance Company	301583	Agent - Health	10/15/2014	4/30/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Health	6/27/2014	4/30/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Life	6/27/2014	4/30/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/18/2014	4/24/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/18/2014	4/24/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	5/13/2016	4/30/2017
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	5/13/2016	4/30/2017
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	6/6/2014	4/30/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	5/13/2016	4/30/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	5/13/2016	4/30/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/13/2016	4/30/2017
Inactive	Humana Insurance Company	301104	Agent - Health	5/13/2016	4/30/2017
Inactive	Humana Insurance Company	301104	Agent - Life	5/13/2016	4/30/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/13/2016	4/30/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/13/2016	4/30/2017
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	5/13/2016	4/30/2017
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	4/30/2017
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/28/2014	11/3/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/28/2014	11/3/2015
Inactive	Medco Containment Life Insurance Company	301557	Agent - Health	3/11/2015	4/30/2017
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	6/11/2015	4/30/2017
Inactive	Omaha Insurance Company	751908	Agent - Health	2/4/2015	12/22/2015
Inactive	SilverScript Insurance Company	663526	Agent - Health	7/10/2014	4/30/2017
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	6/11/2015	4/30/2017
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	6/11/2015	4/30/2017
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/25/2014	4/12/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	6/25/2014	4/12/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/13/2015	4/12/2016
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	7/14/2015	12/14/2015

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 - Life	6/18/2014	4/24/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/18/2014	4/24/2016
Inactive	eHealthInsurance Services Inc.	514105	Agent - Life	4/6/2015	8/31/2016
Inactive	eHealthInsurance Services Inc.	514105	Agent - Health	4/6/2015	8/31/2016