DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Williams, Shantise	DOIID	969809	NAIC NPN	18536757

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	9/27/2017	10/31/2024
Inactive	Non Resident	Agent	Health	9/27/2017	10/31/2024
* 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	Continental American Insurance Company	301700	Agent - Health	1/4/2018	10/24/2022
Inactive	Continental American Insurance Company	301700	Agent - Life	1/4/2018	10/24/2022
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	3/12/2018	10/8/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	3/12/2018	10/8/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	3/12/2018	10/8/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	3/12/2018	10/8/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Aptia Insurance Services Group LLC	1283785	Agent - Health
Denied	Aptia Insurance Services Group LLC	1283785	Agent - Life
Inactive	Mercer Health & Benefits Administration LLC	656414	Agent - Health	1/28/2019	10/24/2022
Inactive	Mercer Health & Benefits Administration LLC	656414	Agent - Life	1/28/2019	10/24/2022