DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Chase, Evan	DOIID	1041127	NAIC NPN	19158849

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	5/20/2019	11/30/2021
Inactive	Non Resident	Agent	Life	5/20/2019	11/30/2021
* 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	6/5/2020	11/30/2021
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/30/2020	11/30/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	6/5/2020	11/30/2021
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Health	7/17/2019	11/30/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	7/13/2020	4/13/2021
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	11/17/2020	12/9/2021
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	6/23/2020	4/13/2021
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	6/30/2020	4/13/2021
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/28/2020	4/13/2021
Inactive	SilverScript Insurance Company	663526	Agent - Health	6/5/2020	11/30/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/18/2020	1/18/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/18/2020	1/18/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/18/2020	12/27/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/18/2020	1/18/2022
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	7/28/2020	12/14/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	7/28/2020	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	Health Plan Intermediaries Holdings	786463	Agent - Health	7/17/2019	11/30/2021