DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Chamber Business Solutions Inc	DOIID	1024246	NAIC NPN	19010693

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	1/3/2019		3/31/2025
Active	Resident	Agent	Casualty	4/27/2020		3/31/2025
Active	Resident	Agent	Life	1/3/2019		3/31/2025
Active	Resident	Agent	Property	4/27/2020		3/31/2025
* 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
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	2/18/2021
Active	Anthem Life Insurance Company	301209	Agent - Health	2/18/2021
Active	Anthem Life Insurance Company	301209	Agent - Life	2/18/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Burton, Shawna	1110827	Agent - Casualty	2/11/2022
Active	Burton, Shawna	1110827	Agent - Health	2/18/2021
Active	Burton, Shawna	1110827	Agent - Life	2/18/2021
Denied	Burton, Shawna	1110827	Agent - Property
Active	Latta, William Shelby	307043	Agent - Casualty	10/8/2020
Active	Latta, William Shelby	307043	Agent - Health	10/8/2020
Active	Latta, William Shelby	307043	Agent - Life	10/8/2020
Active	Latta, William Shelby	307043	Agent - Property	10/8/2020
Inactive	Morgan, Hilary Fischesser	743829	Agent - Casualty	4/27/2020	2/9/2022
Inactive	Morgan, Hilary Fischesser	743829	Agent - Health	1/3/2019	12/10/2020
Inactive	Morgan, Hilary Fischesser	743829	Agent - Life	1/3/2019	12/10/2020
Inactive	Morgan, Hilary Fischesser	743829	Agent - Property	4/27/2020	2/9/2022