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DEPARTMENT OF INSURANCE
Affiliations
Name
Fonteno, Shanika Masha
DOIID
928160
NAIC NPN
18083960
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Health
9/7/2016
12/31/2017
Inactive
Non Resident
Agent
Life
9/7/2016
12/31/2017
* 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
9/10/2016
12/31/2017
Inactive
Aetna Life Insurance Company
301140
Agent - Health
9/10/2016
12/31/2017
Inactive
Aetna Life Insurance Company
301140
Agent - Life
9/10/2016
12/31/2017
Inactive
Anthem Health Plans of Kentucky, Inc.
300999
Agent - Health
9/20/2016
2/8/2017
Inactive
Dental Concern Inc. (The)
301641
Agent - Health
10/7/2016
6/14/2017
Inactive
First Health Life & Health Insurance Company
301735
Agent - Health
9/10/2016
12/31/2017
Inactive
Humana Benefit Plan of Illinois, Inc.
781543
Agent - Health
12/3/2016
6/14/2017
Inactive
Humana Health Plan of Ohio Inc.
301565
Agent - Health
10/7/2016
6/14/2017
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
10/7/2016
6/14/2017
Inactive
Humana Insurance Company
301104
Agent - Health
10/7/2016
6/14/2017
Inactive
Humana Insurance Company
301104
Agent - Life
10/7/2016
6/14/2017
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
10/7/2016
6/14/2017
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
10/7/2016
6/14/2017
Inactive
Humana Wisconsin Health Organization Insurance Corporation
830687
Agent - Health
10/12/2016
6/14/2017
Inactive
Loyal American Life Insurance Company
301172
Agent - Health
10/25/2016
12/4/2017
Inactive
Loyal American Life Insurance Company
301172
Agent - Life
10/25/2016
12/4/2017
Inactive
Medco Containment Life Insurance Company
301557
Agent - Health
11/6/2016
12/31/2017
Inactive
SilverScript Insurance Company
663526
Agent - Health
9/30/2016
12/31/2017
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
9/9/2016
1/31/2017
Inactive
UnitedHealthcare Insurance Company of America
301552
Agent - Health
9/9/2016
1/31/2017
Inactive
UnitedHealthcare of Wisconsin, Inc.
871491
Agent - Health
9/9/2016
1/31/2017
Inactive
WellCare Prescription Insurance Inc.
654329
Agent - Health
12/2/2016
3/9/2017
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Extend Insurance Services, LLC
625753
Agent - Life
11/16/2016
2/16/2017
Inactive
Extend Insurance Services, LLC
625753
Agent - Health
11/16/2016
2/16/2017
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