DEPARTMENT OF INSURANCE

Affiliations

Name	Shively, Brandon Michael	DOIID	968110	NAIC NPN	18040328

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	9/15/2017		4/30/2025
* 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	Accendo Insurance Company	300312	Agent - Health	6/16/2023	11/17/2023
Pending Replacement	Aetna Health Inc. (PA)	660717	Agent - Health	10/5/2017
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	10/13/2017	10/26/2024
Pending Replacement	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/22/2020
Pending Replacement	Aetna Life Insurance Company	301140	Agent - Health	10/5/2017
Pending Replacement	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/26/2021
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	8/30/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2021	9/25/2024
Pending Replacement	CIGNA Health & Life Insurance Company	301783	Agent - Health	3/23/2018
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022	5/3/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/26/2021	9/25/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	10/13/2017	10/26/2024
Pending Replacement	First Health Life & Health Insurance Company	301735	Agent - Health	10/5/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/3/2017	6/8/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/3/2017	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Health	10/3/2017	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/3/2017	6/8/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/3/2017	6/8/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/3/2017	6/8/2018
Inactive	Manhattan Life Insurance Company	300880	Agent - Health	4/11/2018	2/12/2019
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	1/22/2021	10/17/2024
Pending Replacement	SilverScript Insurance Company	663526	Agent - Health	8/23/2019
Inactive	United World Life Insurance Company	300532	Agent - Health	5/16/2019	10/17/2024
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	1/22/2021	10/17/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/19/2017	5/3/2024
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/19/2017	12/21/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/6/2019	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/19/2017	5/3/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/30/2019	12/30/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/30/2019	12/29/2021

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	8/15/2019	5/24/2021