DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Chancellor, Jalesia	DOIID	1361736	NAIC NPN	21321783

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	9/16/2024		1/31/2027
Active	Non Resident	Agent	Health	9/16/2024		1/31/2027
* 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	11/15/2026	01/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	9/28/2024	7/22/2025
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/28/2024	7/22/2025
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/28/2024	7/22/2025
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	11/9/2024	3/25/2025
Inactive	Humana Insurance Company	301104	Agent - Health	12/4/2024	8/14/2025
Inactive	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	11/9/2024	3/25/2025
Inactive	SilverScript Insurance Company	663526	Agent - Health	9/28/2024	7/22/2025
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/10/2024	3/25/2025
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	12/29/2024	3/25/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	TZ Insurance Solutions LLC	727470	Agent - Life
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	1/2/2025	3/6/2025