DEPARTMENT OF INSURANCE

Affiliations

Name	Ampuero, Shannon Michelle	DOIID	972004	NAIC NPN	18101421

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	10/11/2017	3/31/2027
Active	Non Resident	Agent	Life	6/13/2025	3/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2027	03/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	7/15/2026
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	10/31/2017	9/18/2024
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	7/15/2026
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/14/2025
Active	Aetna Life Insurance Company	301140	Agent - Health	10/14/2025
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/29/2026
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/29/2026
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	5/15/2024	9/30/2025
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/19/2026
Active	Colonial Penn Life Insurance Company	300491	Agent - Life	6/23/2025
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	6/29/2026
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/15/2026
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	7/15/2026
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	8/20/2024
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/31/2017	9/18/2024
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/13/2025	8/26/2026
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/13/2025	8/26/2026
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/23/2020	12/13/2022
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/22/2019	10/17/2019
Inactive	Humana Insurance Company	301104	Agent - Health	7/8/2020	9/30/2025
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/11/2019	10/17/2019
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	2/9/2026
Active	SilverScript Insurance Company	663526	Agent - Health	10/14/2025
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	7/19/2026
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/10/2020	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/10/2020	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/19/2026
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/25/2020
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/4/2022

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	4/21/2020	2/3/2025
Inactive	Gohealth LLC	691445	Agent - Health	2/19/2024	10/3/2025