DEPARTMENT OF INSURANCE
Affiliations
NameParks, Chemikia ShantaDOIID1200700NAIC NPN20283908
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentPersonal Lines4/21/2022 6/30/2025
ActiveNon ResidentAgentLife4/21/2022 6/30/2025
ActiveNon ResidentAgentHealth4/21/2022 6/30/2025
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAMEX Assurance Company301728Agent - Health5/11/20221/10/2023
InactiveAMEX Assurance Company301728Agent - Personal Lines5/11/20221/10/2023
InactiveAccendo Insurance Company300312Agent - Health5/2/202311/17/2023
ActiveAccendo Insurance Company300312Agent - Life5/2/2023 
ActiveAetna Health Inc. (PA)660717Agent - Health4/24/2023 
ActiveAetna Health and Life Insurance Company300523Agent - Health5/2/2023 
ActiveAetna Health of Ohio Inc.1065035Agent - Health4/24/2023 
ActiveAetna Life Insurance Company301140Agent - Health4/24/2023 
InactiveCIGNA Health & Life Insurance Company301783Agent - Health9/2/20223/20/2023
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/2023 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health5/2/2023 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life5/2/2023 
ActiveSierra Health and Life Insurance Company Inc.300357Agent - Health7/20/2023 
ActiveSilverScript Insurance Company663526Agent - Health4/24/2023 
ActiveUnitedHealthcare Insurance Company300946Agent - Health7/20/2023 
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health7/20/2023 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
DeniedAssurant Insurance Agency, Inc559398Agent - Life  
InactiveAssurant Insurance Agency, Inc559398Agent - Health7/29/20221/11/2023

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