DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Beltz, Christopher A	DOIID	1038423	NAIC NPN	7840009

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	4/29/2019		4/30/2026
Active	Non Resident	Agent	Life	4/29/2019		4/30/2026
* 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	02/15/2026	04/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/8/2024
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	10/25/2022
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	10/25/2022
Active	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	10/29/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Insurasource Inc	1039079	Agent - Life	5/3/2019	7/26/2024
Inactive	Insurasource Inc	1039079	Agent - Health	5/3/2019	7/26/2024