DEPARTMENT OF INSURANCE

Affiliations

Name	Shaughnessy, Paul K	DOIID	356932	NAIC NPN	1892661

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Administrator	Not Applicable	8/15/1996	2/1/2011
Active	Resident	Agent	Health	7/1/2011		2/28/2026
Active	Resident	Agent	Life	7/1/2011		2/28/2026
Denied	Resident	Agent	Property
Denied	Resident	Agent	Casualty
Inactive	Resident	Agent	Health Maintenance Organization	7/17/1990	3/1/2001
Inactive	Resident	Agent	General Lines	1/12/1995	3/31/1996
* 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	12/15/2025	02/28/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American States Life Insurance Company	301884	Agent - Health	11/1/1998	11/26/2001
Inactive	American States Life Insurance Company	301884	Agent - Life	11/1/1998	11/26/2001
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/1/2001	4/1/2002
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	8/7/1990	3/1/2001
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/24/2000	2/1/2011
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/24/2000	2/1/2011
Active	Banner Life Insurance Company	301696	Agent - Life	7/17/2017
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	3/6/2001	2/1/2011
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	7/11/2011	9/16/2013
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	7/11/2011	9/16/2013
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	6/16/2006	2/1/2011
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	6/16/2006	2/1/2011
Inactive	Colorado Bankers Life Insurance Company	301845	Agent - Health	8/24/2015	1/16/2019
Inactive	Colorado Bankers Life Insurance Company	301845	Agent - Life	8/24/2015	1/16/2019
Active	Combined Insurance Company of America	301472	Agent - Health	1/26/2016
Active	Combined Insurance Company of America	301472	Agent - Life	1/26/2016
Inactive	Companion Life Insurance Company	300191	Agent - Health	11/9/2015	12/13/2022
Inactive	Companion Life Insurance Company	300191	Agent - Life	11/9/2015	12/13/2022
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	11/18/2016	2/1/2017
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	11/18/2016	2/1/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/8/2005	11/10/2008
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/8/2005	11/10/2008
Inactive	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Life	7/11/2011	6/25/2015
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	7/11/2011	6/25/2015
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	7/11/2011	6/25/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/11/2011	8/20/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	7/17/1990	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	7/11/2011	8/20/2012
Inactive	Humana Insurance Company	301104	Agent - Life	7/11/2011	8/20/2012
Inactive	Legion Insurance Company	301490	Agent - Health	3/19/2001	7/1/2003
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	6/2/2010	6/28/2010
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	6/2/2010	6/28/2010
Inactive	Monroe Guaranty Insurance Company	300771	Agent - General Lines	1/12/1995	3/31/1996
Inactive	National Health Insurance Company	300554	Agent - Health	8/18/2015	1/18/2019
Inactive	National Health Insurance Company	300554	Agent - Life	8/18/2015	1/18/2019
Inactive	National Teachers Associates Life Insurance Company	300107	Agent - Health	3/11/2015	11/16/2015
Inactive	National Teachers Associates Life Insurance Company	300107	Agent - Life	3/11/2015	11/16/2015
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	5/6/1999	12/7/2006
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	5/6/1999	12/7/2006
Inactive	Protective Life Insurance Company	300638	Agent - Health	5/2/2017	11/23/2019
Inactive	Protective Life Insurance Company	300638	Agent - Life	5/2/2017	11/23/2019
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	3/28/2006	12/30/2009
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	3/28/2006	12/30/2009
Inactive	Pruco Life Insurance Company	300954	Agent - Life	6/13/2018	12/23/2024
Inactive	Prudential Insurance Company of America	300784	Agent - Health	12/21/1999	2/1/2011
Inactive	Prudential Insurance Company of America	300784	Agent - Life	12/21/1999	2/1/2011
Active	Reliance Standard Life Insurance Company	300584	Agent - Health	1/16/2015
Active	Reliance Standard Life Insurance Company	300584	Agent - Life	1/16/2015
Inactive	Reserve National Insurance Company	301073	Agent - Health	7/3/2017	8/9/2017
Inactive	Reserve National Insurance Company	301073	Agent - Life	7/3/2017	8/9/2017
Inactive	Symetra Life Insurance Company	301691	Agent - Health	7/14/1989	4/22/2009
Inactive	Symetra Life Insurance Company	301691	Agent - Life	7/14/1989	4/22/2009
Inactive	Time Insurance Company	300683	Agent - Health	8/26/2015	11/22/2019
Inactive	Time Insurance Company	300683	Agent - Life	8/26/2015	11/22/2019
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	10/11/2001	10/25/2004
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	10/11/2001	10/25/2004
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	1/25/1991	12/30/2009
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	1/25/1991	12/30/2009
Inactive	Union Security Insurance Company	301844	Agent - Health	6/18/2009	2/1/2011
Inactive	Union Security Insurance Company	301844	Agent - Life	6/18/2009	2/1/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/19/2001	2/1/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	10/19/2001	2/1/2011
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/15/2000	2/1/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia of Louisville Inc.	401252	Agent - Life	5/26/1994	2/28/2003
Inactive	Acordia of Louisville Inc.	401252	Agent - Health	5/26/1994	2/28/2003
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	5/15/2000	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	5/15/2000	6/23/2008
Active	Dental Choice Agency Inc.	398085	Agent - Health	1/5/2022
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/13/2013	2/11/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/13/2013	2/11/2025
Denied	Employers First Inc.	397889	Administrator - Not Applicable
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	Medlink Inc	400721	Agent - Life	7/11/2011	3/31/2024
Inactive	Medlink Inc	400721	Agent - Health	7/11/2011	3/31/2024
Inactive	National Teacher Associates of Kentucky Inc.	399320	Agent - Life	3/12/2015	10/14/2015
Inactive	National Teacher Associates of Kentucky Inc.	399320	Agent - Health	3/12/2015	10/14/2015
Inactive	Ushealth Advisors Llc	713288	Agent - Life	11/22/2016	3/30/2019
Inactive	Ushealth Advisors Llc	713288	Agent - Health	11/22/2016	3/30/2019
Inactive	Wells Fargo Insurance Services Of Kentucky Inc	399414	Agent - Life	4/25/2008	3/2/2010
Inactive	Wells Fargo Insurance Services Of Kentucky Inc	399414	Agent - Health	4/25/2008	3/2/2010