DEPARTMENT OF INSURANCE
Affiliations
NameChantemerle, Hollyn DOIID1265507NAIC NPN20648062
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife3/29/2023 8/31/2026
ActiveNon ResidentAgentHealth3/29/2023 8/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveACE Property and Casualty Insurance Company300520Agent - Health10/8/20249/28/2025
InactiveAccendo Insurance Company300312Agent - Health4/3/202311/17/2023
InactiveAccendo Insurance Company300312Agent - Life4/3/202311/28/2025
InactiveAetna Health Inc. (PA)660717Agent - Health4/13/202312/3/2025
InactiveAetna Health and Life Insurance Company300523Agent - Health4/3/202311/28/2025
InactiveAetna Health of Ohio Inc.1065035Agent - Health4/13/202312/3/2025
InactiveAetna Life Insurance Company301140Agent - Health4/13/202312/3/2025
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health6/7/202311/11/2025
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health6/7/202312/19/2024
InactiveAnthem Insurance Companies, Inc.300941Agent - Health6/7/202311/11/2025
InactiveArcadian Health Plan, Inc.728196Agent - Health10/25/202311/4/2025
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health4/12/20237/23/2025
InactiveCompcare Health Services Insurance Corporation948751Agent - Health6/7/202311/11/2025
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health4/3/202311/28/2025
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life4/3/202311/28/2025
ActiveGolden Rule Insurance Company301943Agent - Health3/8/2025 
ActiveGolden Rule Insurance Company301943Agent - Life3/8/2025 
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health5/24/202312/12/2024
InactiveHumana Insurance Company301104Agent - Health10/16/202311/4/2025
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health7/31/202312/12/2024
InactiveInsurance Company of North America300226Agent - Health9/25/20259/28/2025
InactiveSilverScript Insurance Company663526Agent - Health4/13/202312/3/2025
ActiveTier One Insurance Company301056Agent - Health4/6/2025 
ActiveTier One Insurance Company301056Agent - Life4/6/2025 
InactiveUnitedHealthcare Insurance Company300946Agent - Health4/12/20237/23/2025
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health4/12/20237/23/2025
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health12/8/202411/28/2025
InactiveWellCare Prescription Insurance Inc.654329Agent - Health11/28/202411/27/2025
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveSmart Match Insurance Agency LLC829381Agent - Life4/28/20235/30/2025
InactiveSmart Match Insurance Agency LLC829381Agent - Health4/28/20235/30/2025

© Commonwealth of Kentucky. All rights reserved.