DEPARTMENT OF INSURANCE

Affiliations

Name	Moore, Shontaivia	DOIID	1007048	NAIC NPN	18815275

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/29/2018		10/31/2025
* 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	08/15/2025	10/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	3/30/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	3/30/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	3/30/2021
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	8/31/2018
Active	CHA HMO, Inc.	300662	Agent - Health	12/18/2023
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022	2/21/2023
Active	CompBenefits Insurance Company	301864	Agent - Health	11/14/2019
Active	Dental Concern Inc. (The)	301641	Agent - Health	8/31/2018
Active	Emphesys Insurance Company	300598	Agent - Health	6/2/2025
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/31/2018
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/1/2018
Active	Humana Health Plan, Inc.	300142	Agent - Health	8/31/2018
Active	Humana Insurance Company	301104	Agent - Health	8/31/2018
Active	Humana Insurance Company of Kentucky	300826	Agent - Health	8/31/2018
Active	Humana Medical Plan, Inc.	801568	Agent - Health	8/31/2018
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	8/31/2018
Active	SilverScript Insurance Company	663526	Agent - Health	3/30/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/14/2021	2/21/2023
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	1/14/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	1/14/2021	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	1/14/2021	2/21/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Humana MarketPOINT Inc.	398092	Agent - Health	6/18/2019