DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Beltz, Christopher A	DOIID	1038423	NAIC NPN	7840009

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	4/29/2019		4/30/2026
Active	Non Resident	Agent	Life	4/29/2019		4/30/2026
* 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	8/8/2024
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	10/25/2022
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	10/25/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Insurasource Inc	1039079	Agent - Life	5/3/2019	7/26/2024
Inactive	Insurasource Inc	1039079	Agent - Health	5/3/2019	7/26/2024