DEPARTMENT OF INSURANCE

Affiliations

Name	Chickery, Anthony Michael	DOIID	921061	NAIC NPN	18015313

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	7/13/2016		10/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Extend Health, LLC	921062	Administrator - Not Applicable	7/13/2016
Active	Towers Watson Retiree Ins Services Inc	876790	Administrator - Not Applicable	7/21/2016