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	Health	8/28/2014	11/30/2027
Active	Non Resident	Agent	Life	8/28/2014	11/30/2027
* 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	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