DEPARTMENT OF INSURANCE

Affiliations

Name	Kirk, Shelby L	DOIID	1048942	NAIC NPN	19237314

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	4/14/2026		10/31/2028
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	9/10/2019	10/31/2020
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	4/20/2026
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	4/23/2026
Active	Aetna Life Insurance Company	301140	Agent - Health	4/23/2026
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/14/2026
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	4/14/2026
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/14/2019	10/31/2020
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	10/22/2019	10/31/2020
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	4/14/2026
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	4/14/2026
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	4/20/2026
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	4/24/2026
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	2/19/2020	10/31/2020
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/7/2019	10/31/2020
Inactive	Humana Insurance Company	301104	Agent - Health	5/8/2020	10/31/2020
Active	Insurance Company of North America	300226	Agent - Health	4/28/2026
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	4/18/2026
Active	SilverScript Insurance Company	663526	Agent - Health	4/23/2026
Active	Tier One Insurance Company	301056	Agent - Health	4/21/2026
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	4/14/2026
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/6/2019	10/31/2020
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/27/2019	10/31/2020
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	4/14/2026
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/20/2019	10/31/2020
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/20/2019	10/31/2020

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	8/19/2019	10/31/2020
Inactive	eHealthInsurance Services Inc.	514105	Agent - Health	8/19/2019	10/31/2020