DEPARTMENT OF INSURANCE

Affiliations

Name	Shayne, Glenn David	DOIID	849857	NAIC NPN	546027

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	8/28/2014	11/30/2025
Active	Non Resident	Agent	Health	8/28/2014	11/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	09/15/2025	11/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	1/22/2023
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/14/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/11/2015	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/11/2015	4/15/2025
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	5/16/2019	12/19/2019
Active	Golden Rule Insurance Company	301943	Agent - Health	5/25/2016
Active	Golden Rule Insurance Company	301943	Agent - Life	5/25/2016
Inactive	Independence American Insurance Company	524747	Agent - Health	3/2/2021	12/30/2022
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Health	6/27/2016	12/22/2022
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Life	6/27/2016	12/22/2022
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	10/19/2021
Active	National Health Insurance Company	300554	Agent - Health	7/21/2021
Active	National Health Insurance Company	300554	Agent - Life	7/21/2021
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Health	6/24/2016	12/27/2018
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	6/24/2016	12/27/2018
Active	Starmount Life Insurance Company	628031	Agent - Health	9/30/2015
Active	Starmount Life Insurance Company	628031	Agent - Life	9/30/2015
Active	United of Omaha Life Insurance Company	300156	Agent - Health	12/30/2014
Active	United of Omaha Life Insurance Company	300156	Agent - Life	12/30/2014
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	5/25/2016	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	5/25/2016	11/4/2016
Inactive	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	11/22/2024	12/8/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Amac Senior Resources Network	749465	Agent - Health	5/7/2025
Active	Amac Senior Resources Network	749465	Agent - Life	5/7/2025
Active	Designated Agent Company Inc.	681257	Agent - Health	9/11/2015
Active	Designated Agent Company Inc.	681257	Agent - Life	9/11/2015