DEPARTMENT OF INSURANCE

Affiliations

Name	Shields, Kevin J	DOIID	572715	NAIC NPN	966098

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	7/11/2003	2/28/2027
Active	Non Resident	Agent	Life	7/11/2003	2/28/2027
* 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	12/15/2026	02/28/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	6/5/2026
Active	Aetna Health Inc. (PA)	660717	Agent - Health	8/21/2014
Active	Aetna Health Insurance Company	301583	Agent - Health	8/21/2014
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	6/5/2026
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/23/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	8/21/2014
Active	Aetna Life Insurance Company	301140	Agent - Life	8/21/2014
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	8/8/2020	4/30/2021
Inactive	American Continental Insurance Company	643130	Agent - Health	5/12/2010	6/6/2016
Inactive	American Continental Insurance Company	643130	Agent - Life	5/12/2010	11/12/2014
Active	American General Life Insurance Company	301585	Agent - Health	3/6/2024
Active	American General Life Insurance Company	301585	Agent - Life	3/6/2024
Inactive	American National Life Insurance Company of Texas	300912	Agent - Health	6/18/2007	12/2/2010
Inactive	American National Life Insurance Company of Texas	300912	Agent - Life	6/18/2007	12/2/2010
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Health	9/5/2015	12/28/2020
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	4/16/2012	12/28/2020
Inactive	Annuity Investors Life Insurance Company	300715	Agent - Health	10/20/2004	9/14/2011
Inactive	Annuity Investors Life Insurance Company	300715	Agent - Life	10/20/2004	9/14/2011
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/31/2025
Active	Bankers Fidelity Assurance Company	554627	Agent - Health	2/8/2017
Active	Bankers Fidelity Assurance Company	554627	Agent - Life	2/8/2017
Active	Bankers Fidelity Life Insurance Company	300193	Agent - Health	5/19/2016
Active	Bankers Fidelity Life Insurance Company	300193	Agent - Life	5/19/2016
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Inactive	Columbian Life Insurance Company	300810	Agent - Life	4/6/2022	7/25/2024
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	7/17/2009	6/11/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	7/17/2009	6/11/2014
Inactive	Conseco Health Insurance Company	301725	Agent - Health	4/25/2007	10/1/2010
Inactive	Conseco Health Insurance Company	301725	Agent - Life	4/25/2007	10/1/2010
Inactive	Conseco Insurance Company	301202	Agent - Health	8/9/2004	10/1/2010
Inactive	Conseco Insurance Company	301202	Agent - Life	8/9/2004	10/1/2010
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	6/5/2026
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	6/5/2026
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	7/19/2024
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	2/27/2025
Active	First Health Life & Health Insurance Company	301735	Agent - Health	10/6/2008
Inactive	Genworth Life Insurance Company	300623	Agent - Health	4/11/2008	9/24/2009
Inactive	Genworth Life Insurance Company	300623	Agent - Life	4/11/2008	9/24/2009
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	6/3/2008	4/21/2009
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	6/3/2008	4/21/2009
Inactive	Gerber Life Insurance Company	300529	Agent - Health	9/2/2010	12/26/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Life	9/2/2010	12/26/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Health	4/22/2015	12/13/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Life	4/22/2015	12/14/2016
Active	Guarantee Trust Life Insurance Company	301043	Agent - Health	5/17/2011
Active	Guarantee Trust Life Insurance Company	301043	Agent - Life	5/17/2011
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Health	10/13/2016	4/20/2018
Inactive	Humana Insurance Company	301104	Agent - Life	10/13/2016	4/20/2018
Inactive	Individual Assurance Company Life Health & Accident	300580	Agent - Health	11/15/2016	2/12/2019
Inactive	Individual Assurance Company Life Health & Accident	300580	Agent - Life	11/15/2016	8/17/2018
Active	Life Insurance Company of the Southwest	301867	Agent - Life	6/18/2026
Inactive	Lumico Life Insurance Company	300354	Agent - Health	11/19/2020	1/3/2023
Inactive	Lumico Life Insurance Company	300354	Agent - Life	11/19/2020	11/20/2024
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Health	12/24/2003	3/16/2016
Active	MassMutual Ascend Life Insurance Company	300320	Agent - Life	12/24/2003
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	6/27/2023
Inactive	Mutual of Omaha Medicare Advantage Company	979434	Agent - Health	9/4/2018	4/28/2021
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Health	11/1/2008	1/3/2014
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Life	11/1/2008	12/13/2012
Inactive	Omaha Health Insurance Company	301296	Agent - Health	9/4/2018	12/27/2024
Inactive	Omaha Insurance Company	751908	Agent - Health	3/30/2012	8/8/2018
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	12/5/2005	11/3/2011
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Life	12/5/2005	7/17/2012
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	6/5/2007	3/31/2009
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	6/5/2007	3/31/2009
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Health	11/1/2008	3/31/2013
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Life	11/1/2008	3/31/2013
Inactive	Physicians Mutual Insurance Company, Inc.	301084	Agent - Health	9/5/2003	3/3/2008
Inactive	Royal Neighbors of America	301646	Agent - Life	11/25/2009	12/29/2014
Inactive	SILAC Insurance Company	300535	Agent - Health	4/1/2013	11/5/2020
Inactive	SILAC Insurance Company	300535	Agent - Life	4/1/2013	11/5/2020
Active	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	10/27/2024
Active	SilverScript Insurance Company	663526	Agent - Health	5/15/2019
Inactive	Sterling Life Insurance Company	301947	Agent - Health	11/2/2010	11/30/2012
Inactive	Sterling Life Insurance Company	301947	Agent - Life	11/2/2010	5/28/2015
Active	Tier One Insurance Company	301056	Agent - Health	10/24/2022
Active	Tier One Insurance Company	301056	Agent - Life	8/17/2022
Active	Transamerica Life Insurance Company	300571	Agent - Health	10/1/2020
Active	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	11/19/2010	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	11/19/2010	10/1/2020
Inactive	United World Life Insurance Company	300532	Agent - Health	8/19/2004	12/15/2010
Active	United of Omaha Life Insurance Company	300156	Agent - Health	12/12/2008
Active	United of Omaha Life Insurance Company	300156	Agent - Life	12/12/2008
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	10/29/2007
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/9/2016	12/21/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/6/2019	12/22/2022
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	4/22/2015	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	4/22/2015	11/4/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	12/23/2021
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	6/8/2010	12/5/2016
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/10/2015
Active	Washington National Insurance Company	300587	Agent - Health	4/6/2009
Active	Washington National Insurance Company	300587	Agent - Life	4/6/2009
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	12/17/2019	12/30/2021
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/8/2019
Inactive	Wilco Life Insurance Company	300122	Agent - Life	9/29/2003	2/17/2009

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	12/3/2013	2/17/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/3/2013	2/17/2025
Active	Pinnacle Financial Services Group LLC	576097	Agent - Health	11/20/2003
Active	Pinnacle Financial Services Group LLC	576097	Agent - Life	11/20/2003