DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Carbonell, Chelsea Elizabeth	DOIID	1286551	NAIC NPN	17695610

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	10/2/2024		7/31/2028
Active	Non Resident	Agent	Health	8/19/2026		7/31/2028
* 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	Ameritas Life Insurance Corporation	300126	Agent - Life	11/9/2025
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	8/21/2023	7/31/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Ethos Technologies Inc.	934675	Agent - Life	8/19/2026
Pending	Ethos Technologies Inc.	934675	Agent - Health