DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Merkel, Chase Jordan	DOIID	1140465	NAIC NPN	19565242

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/18/2021		4/30/2027
Active	Non Resident	Agent	Life	6/18/2021		4/30/2027
* 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	02/15/2025	04/30/2025	02/13/2025	02/13/2025	Yes

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	12/28/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/28/2023	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/28/2023	4/15/2025
Active	CareSource Kentucky Co.	838179	Agent - Health	6/21/2024
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	7/19/2021	2/5/2025
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	7/19/2021	2/5/2025
Active	Golden Rule Insurance Company	301943	Agent - Health	7/12/2021
Active	Golden Rule Insurance Company	301943	Agent - Life	7/12/2021
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	3/26/2025
Active	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	10/7/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	HealthMarkets Insurance Agency Inc	709727	Agent - Life	12/29/2021
Active	HealthMarkets Insurance Agency Inc	709727	Agent - Health	12/29/2021