DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Haymon, Chanel	DOIID	1052032	NAIC NPN	19004287

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	11/17/2022		6/30/2025
Active	Non Resident	Agent	Casualty	11/17/2022		6/30/2025
Inactive	Non Resident	Agent	Health	8/16/2019	6/30/2021
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	04/15/2025	06/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Amica Mutual Insurance Company	301405	Agent - Casualty	11/21/2022	8/13/2024
Inactive	Amica Mutual Insurance Company	301405	Agent - Property	11/21/2022	8/13/2024
Inactive	Amica Property and Casualty Insurance Company	962874	Agent - Casualty	11/21/2022	8/13/2024
Inactive	Amica Property and Casualty Insurance Company	962874	Agent - Property	11/21/2022	8/13/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/28/2019	12/28/2019
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/18/2019	6/30/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/18/2019	6/30/2021

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	8/30/2019	6/30/2021