DEPARTMENT OF INSURANCE
Affiliations
NameBrown, Shataiya LatanglaDOIID934654NAIC NPN16692056
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth10/25/201612/31/2022 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health10/17/201812/29/2018
InactiveCIGNA Dental Health of Kentucky, Inc.300904Agent - Health9/24/20209/10/2021
InactiveCIGNA Health & Life Insurance Company301783Agent - Health9/24/20202/24/2022
InactiveConnecticut General Life Insurance Company301333Agent - Health9/24/20209/10/2021
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health10/27/201612/10/2016
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health10/27/201612/10/2016
InactiveHumana Health Plan, Inc.300142Agent - Health10/27/201612/10/2016
InactiveHumana Insurance Company301104Agent - Health10/27/20163/17/2017
InactiveHumana Insurance Company of Kentucky300826Agent - Health10/27/201612/10/2016
InactiveHumana Medical Plan, Inc.801568Agent - Health10/27/201612/10/2016
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health10/27/201612/10/2016
InactiveLife Insurance Company of North America300711Agent - Health9/24/20209/10/2021
InactiveUnitedHealthcare Insurance Company300946Agent - Health8/23/20189/24/2018
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health8/23/20189/24/2018
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health8/23/20189/24/2018
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health8/23/20189/24/2018
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Health10/17/201812/29/2018

© Commonwealth of Kentucky. All rights reserved.