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
Inactive	Resident	Agent	Health	9/6/2018	4/1/2025
Inactive	Resident	Agent	Life	8/31/2018	4/1/2025
* 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

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
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	4/15/2019	4/1/2025
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	4/15/2019	4/1/2025
Inactive	Humana Insurance Company	301104	Agent - Health	2/11/2021	12/13/2022
Inactive	National Health Insurance Company	300554	Agent - Health	6/7/2021	4/1/2025
Inactive	National Health Insurance Company	300554	Agent - Life	6/7/2021	4/1/2025
Inactive	Nippon Life Insurance Company of America	300446	Agent - Life	8/4/2021	4/1/2025
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
Inactive	Automatic Data Processing Insurance Agency Inc.	512879	Agent - Health	4/15/2019	4/1/2025
Inactive	Automatic Data Processing Insurance Agency Inc.	512879	Agent - Life	4/15/2019	4/1/2025