DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Chan, Tara	DOIID	1037006	NAIC NPN	755129

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	4/17/2019	8/31/2023
Inactive	Non Resident	Agent	Life	9/15/2020	8/31/2023
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	4/24/2019	8/31/2023
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2020	8/31/2023
Inactive	Aetna Life Insurance Company	301140	Agent - Health	4/24/2019	8/31/2023
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	3/11/2022	8/31/2023
Inactive	American General Life Insurance Company	301585	Agent - Health	8/16/2023	8/31/2023
Inactive	American General Life Insurance Company	301585	Agent - Life	8/16/2023	8/31/2023
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/3/2019	12/10/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/13/2019	8/31/2023
Inactive	Federal Insurance Company	301144	Agent - Health	8/9/2019	2/14/2022
Inactive	Justify Holdings, Inc.	1041634	Agent - Health	4/29/2021	3/31/2023
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	2/8/2021	10/17/2023
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/23/2019	8/31/2023
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	10/9/2019	12/16/2021
Inactive	Unified Life Insurance Company	543169	Agent - Health	8/8/2019	10/22/2020
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/22/2019	12/28/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/22/2019	12/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	5/3/2019	12/14/2020