DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Chavez, Oscar E	DOIID	1108391	NAIC NPN	19663207

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	1/26/2022		10/31/2025
Active	Non Resident	Agent	Health	1/26/2022		10/31/2025
* 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	08/15/2025	10/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	1/31/2022	4/4/2022
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	1/31/2022	4/4/2022
Inactive	CMFG Life Insurance Company	300929	Agent - Health	3/21/2022	11/14/2023
Inactive	CMFG Life Insurance Company	300929	Agent - Life	3/21/2022	11/14/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Sutherland Global Services Inc	601788	Agent - Health	1/31/2022	11/14/2023
Inactive	Sutherland Global Services Inc	601788	Agent - Life	1/31/2022	11/14/2023