DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Costa, Chelsea	DOIID	1257793	NAIC NPN	20471713

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	2/23/2023		12/31/2024
Active	Non Resident	Agent	Health	2/23/2023		12/31/2024
* 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	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Dental Care Plus Inc.	301495	Agent - Health	3/6/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Direct Benefits, An Alera Group Agency, Llc	1126744	Agent - Life
Inactive	Direct Benefits, An Alera Group Agency, Llc	1126744	Agent - Health	3/6/2023	3/27/2024
Denied	Shomer Insurance Services, An Alera Group Agency, LLC	1028798	Agent - Life
Active	Shomer Insurance Services, An Alera Group Agency, LLC	1028798	Agent - Health	3/6/2023