DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Shelton, Ross A	DOIID	860726	NAIC NPN	16724380

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	11/13/2014		6/30/2025
Active	Non Resident	Agent	Life	11/13/2014		6/30/2025
* 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	04/15/2025	06/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	All Savers Insurance Company	301940	Agent - Health	5/16/2016	8/30/2023
Inactive	All Savers Insurance Company	301940	Agent - Life	5/16/2016	8/30/2023
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/22/2020	12/16/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/22/2020	12/16/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/15/2016	6/25/2016
Inactive	Time Insurance Company	300683	Agent - Health	2/23/2016	11/23/2019
Inactive	Time Insurance Company	300683	Agent - Life	2/23/2016	11/23/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/29/2016	8/30/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	6/29/2016	8/30/2023
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	6/29/2016	8/30/2023
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/18/2022	8/30/2023

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	3/15/2016	6/24/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	3/15/2016	6/24/2016
Inactive	Keystone Ins & Benefits Group LLC	716920	Agent - Life	2/28/2016	8/30/2023
Inactive	Keystone Ins & Benefits Group LLC	716920	Agent - Health	2/28/2016	12/16/2024