black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

SHAKIBRA SCOTT

PRODUCER NON-RESIDENT

License Number:
PRN428001
Status:
First Licensure:
08/25/2022
Cancel Date:
None

Mailing:
RICHARDSON, TX 75081
Phone:
+1 (801) 415-0579
Email:
imlicensingandappointment@wtwco.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 08/25/2022

Agency

Name Issue Date License Number Expiration Date Cancel Date
EXTEND INSURANCE SERVICES LLC
07/05/2023 AGN120215

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMH HEALTH PLANS OF MAINE, INC.
09/01/2022 LHD353013
AMH HEALTH, LLC
09/01/2022 HMD329485
ANTHEM HEALTH PLANS OF MAINE INC.
09/01/2022 LHD70566
ANTHEM INSURANCE COMPANIES INC
09/01/2022 LHF125537
CHESAPEAKE LIFE INSURANCE COMPANY
10/04/2022 LHF699 01/06/2025
CIGNA HEALTH AND LIFE INSURANCE COMPANY
08/31/2022 LHF860
EMPIRE HEALTHCHOICE HMO, INC.
09/01/2022 HMF285382
GOLDEN RULE INSURANCE COMPANY
08/27/2024 LHF918
GUARDIAN LIFE INSURANCE COMPANY OF AMERICA
10/19/2022 LHF644
HUMANA INSURANCE COMPANY
12/07/2023 LHF980
LOYAL AMERICAN LIFE INSURANCE COMPANY
10/01/2022 LHF207
MARTIN'S POINT GENERATIONS ADVANTAGE, INC.
09/30/2022 HMD261379
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
10/23/2023 LHF183
SIERRA HEALTH AND LIFE INSURANCE COMPANY INC.
11/02/2023 LHF58195
SILVERSCRIPT INSURANCE COMPANY
11/19/2023 LHF132429
UNITEDHEALTHCARE INSURANCE COMPANY
11/20/2023 LHF700
WELLCARE PRESCRIPTION INSURANCE INC
11/28/2023 LHF121869

Authority

Description Issue Date Termination Date Status
HEALTH 08/25/2022 Active
LIFE 08/25/2022 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19658191

Other Addresses

Address Type
RICHARDSON, TX 75081
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 05/17/2025 08:25:16 AM