DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Staub, Christopher Francis	DOIID	328469	NAIC NPN	545574

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health Maintenance Organization	6/26/1995	8/26/1997
Inactive	Non Resident	Agent	Health	3/23/1995	5/31/2014
Inactive	Non Resident	Agent	Life	3/23/1995	5/31/2014
* 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
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/7/2000	1/3/2013
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	8/3/2000	10/12/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/24/1997	1/3/2013
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/24/1997	1/3/2013
Inactive	Prudential Health Care Plan Inc.	301342	Agent - Health Maintenance Organization	6/26/1995	8/26/1997
Inactive	Prudential Insurance Company of America	300784	Agent - Health	3/23/1995	8/26/1997
Inactive	Prudential Insurance Company of America	300784	Agent - Life	3/23/1995	8/26/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	4/24/2000	2/28/2003
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/30/2008	1/3/2013
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/30/2008	1/3/2013