DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Chambers, Nicole Danielle	DOIID	1257395	NAIC NPN	11779995

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	2/21/2023		5/31/2026
Active	Non Resident	Agent	Life	2/21/2023		5/31/2026
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/7/2023
Active	Anthem Life Insurance Company	301209	Agent - Health	3/7/2023
Active	Anthem Life Insurance Company	301209	Agent - Life	3/7/2023
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	1/9/2024
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	1/9/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aon Consulting Inc NJ	399932	Agent - Life	3/23/2023	4/17/2024
Inactive	Aon Consulting Inc NJ	399932	Agent - Health	3/23/2023	4/17/2024
Active	Dental Choice Agency Inc.	398085	Agent - Health	3/24/2023