DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Chamberlain, Mary Alexandra	DOIID	1004874	NAIC NPN	18878786

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Resident	Agent	Life	8/31/2018		3/31/2025
Pending Replacement	Resident	Agent	Health	9/6/2018		3/31/2025
* 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	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	All Savers Insurance Company	301940	Agent - Health	5/11/2021	5/31/2023
Inactive	All Savers Insurance Company	301940	Agent - Life	5/11/2021	5/31/2023
Pending Replacement	Guardian Life Insurance Company of America	301316	Agent - Health	4/15/2019
Pending Replacement	Guardian Life Insurance Company of America	301316	Agent - Life	4/15/2019
Inactive	Humana Insurance Company	301104	Agent - Health	2/11/2021	12/13/2022
Pending Replacement	National Health Insurance Company	300554	Agent - Health	6/7/2021
Pending Replacement	National Health Insurance Company	300554	Agent - Life	6/7/2021
Pending Replacement	Nippon Life Insurance Company of America	300446	Agent - Life	8/4/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/11/2021	3/27/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	5/11/2021	3/27/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Automatic Data Processing Insurance Agency Inc.	512879	Agent - Health	4/15/2019
Pending Replacement	Automatic Data Processing Insurance Agency Inc.	512879	Agent - Life	4/15/2019