DEPARTMENT OF INSURANCE

Affiliations

Name	Dormevil, Shanicka Lashonna	DOIID	985138	NAIC NPN	18045993

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/18/2024		1/31/2026
Inactive	Non Resident	Agent	Life	9/10/2020	1/31/2022
* 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	11/15/2025	01/31/2026

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	9/15/2020	7/8/2021
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	4/11/2019	1/31/2020
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/15/2020	7/8/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/15/2020	7/8/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/18/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	1/18/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/2/2021	2/18/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/2/2021	2/18/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	2/26/2021	1/3/2022
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	1/18/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	4/11/2019	1/31/2020
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	2/26/2018	6/15/2018
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	2/26/2018	1/31/2020
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	2/26/2018	6/15/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	6/12/2019	1/9/2020
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/26/2018	6/15/2018
Inactive	Humana Insurance Company	301104	Agent - Health	10/29/2018	1/9/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/26/2018	6/15/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	2/22/2019	1/9/2020
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	2/26/2018	6/15/2018
Inactive	SilverScript Insurance Company	663526	Agent - Health	2/9/2021	7/8/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/24/2018	1/9/2020
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/24/2018	12/21/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/6/2019	1/9/2020
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/24/2018	1/9/2020
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/24/2018	1/9/2020
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/20/2020	12/29/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/20/2020	1/31/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	eHealthInsurance Services Inc.	514105	Agent - Health	3/8/2018	1/29/2020