DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Chacon-Romero, Carla A	DOIID	1191358	NAIC NPN	19051262

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	3/3/2022		12/31/2026
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	3/17/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	3/17/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	3/17/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/3/2022	11/10/2022
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	3/3/2022	11/10/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	3/3/2022	11/10/2022
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	3/3/2022	11/10/2022
Active	SilverScript Insurance Company	663526	Agent - Health	3/17/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Purpose Insurance Agency, LLC	1213960	Agent - Health	11/21/2023	2/12/2025