DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Short, Dawnn	DOIID	861161	NAIC NPN	17423177

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	11/18/2014	11/30/2020
Inactive	Non Resident	Agent	Life	10/21/2016	11/30/2020
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/22/2015	7/29/2020
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/24/2019	6/18/2020
Inactive	Colorado Bankers Life Insurance Company	301845	Agent - Health	10/30/2015	4/18/2019
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	12/31/2014	3/23/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	12/31/2014	3/23/2016
Inactive	Federal Insurance Company	301144	Agent - Health	3/18/2019	12/23/2020
Inactive	HCC Life Insurance Company	301827	Agent - Health	7/10/2015	10/3/2016
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/1/2019	6/18/2020
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	1/22/2020	6/18/2020
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/31/2014	3/23/2016
Inactive	Humana Insurance Company	301104	Agent - Health	10/15/2019	6/18/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/31/2014	3/23/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/21/2019	6/18/2020
Inactive	Independence American Insurance Company	524747	Agent - Health	6/26/2018	12/11/2019
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/22/2015	10/22/2015
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/30/2019	11/30/2020
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/30/2019	11/30/2020

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 - Health	1/22/2015	11/30/2020
Inactive	Gohealth LLC	691445	Agent - Health	11/29/2018	11/30/2020
Denied	Gohealth LLC	691445	Agent - Life
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	6/10/2020	11/30/2020