DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Chavez, Martir	DOIID	1295122	NAIC NPN	20192526

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/29/2023		8/31/2025
* 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	06/15/2025	08/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Health	11/4/2023	1/12/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/29/2023	1/16/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	8/29/2023	1/16/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	8/29/2023	1/16/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	9/6/2023	1/11/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	8/29/2023	1/16/2024
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	1/10/2024	7/4/2025
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/6/2023	1/11/2024
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/6/2023	1/11/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	eHealthInsurance Services Inc.	514105	Agent - Health	8/29/2023	2/20/2024