DEPARTMENT OF INSURANCE
Affiliations
NameParks, Chemikia ShantaDOIID1200700NAIC NPN20283908
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife4/21/2022 6/30/2025
ActiveNon ResidentAgentHealth4/21/2022 6/30/2025
ActiveNon ResidentAgentPersonal Lines4/21/2022 6/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent04/15/202506/30/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAMEX Assurance Company301728Agent - Health5/11/20221/10/2023
InactiveAMEX Assurance Company301728Agent - Personal Lines5/11/20221/10/2023
InactiveAccendo Insurance Company300312Agent - Health5/2/202311/17/2023
ActiveAccendo Insurance Company300312Agent - Life5/2/2023 
ActiveAetna Health Inc. (PA)660717Agent - Health4/24/2023 
ActiveAetna Health and Life Insurance Company300523Agent - Health5/2/2023 
ActiveAetna Health of Ohio Inc.1065035Agent - Health4/24/2023 
ActiveAetna Life Insurance Company301140Agent - Health4/24/2023 
InactiveCIGNA Health & Life Insurance Company301783Agent - Health9/2/20223/20/2023
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/20234/30/2025
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health5/2/2023 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life5/2/2023 
InactiveSierra Health and Life Insurance Company Inc.300357Agent - Health7/20/20234/30/2025
ActiveSilverScript Insurance Company663526Agent - Health4/24/2023 
InactiveUnitedHealthcare Insurance Company300946Agent - Health7/20/20234/30/2025
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health7/20/20234/30/2025
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
DeniedAssurant Insurance Agency, Inc559398Agent - Life  
InactiveAssurant Insurance Agency, Inc559398Agent - Health7/29/20221/11/2023

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