DEPARTMENT OF INSURANCE

Affiliations

Name	Chambers, Hiawana C	DOIID	357802	NAIC NPN	7194932

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Prepaid Dental Plan	3/20/2000	4/2/2001
Inactive	Resident	Agent	Casualty	10/11/2004	7/2/2018
Inactive	Resident	Agent	Property	10/11/2004	7/2/2018
Inactive	Resident	Agent	Health	10/11/2004	7/2/2018
Inactive	Resident	Agent	General Lines	2/19/1981	8/15/2000
Inactive	Resident	Agent	Life	10/11/2004	7/2/2018
* 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	Aetna Life Insurance Company	301140	Agent - Health	10/11/2004	9/21/2010
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/11/2004	9/21/2010
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	10/11/2004	12/28/2006
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	10/11/2004	12/28/2006
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	5/26/2000	11/12/2003
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	5/26/2000	11/12/2003
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/1/2005	7/2/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/1/2005	7/2/2018
Inactive	Banner Life Insurance Company	301696	Agent - Life	8/10/2011	8/21/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/29/2017	6/15/2018
Inactive	Falls Lake National Insurance Company	301796	Agent - Casualty	8/15/2000	12/16/2003
Inactive	Falls Lake National Insurance Company	301796	Agent - General Lines	6/5/2000	8/15/2000
Inactive	Genworth Life Insurance Company	300623	Agent - Health	10/11/2004	3/9/2005
Inactive	Genworth Life Insurance Company	300623	Agent - Life	10/11/2004	3/9/2005
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	8/10/2011	1/7/2014
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	8/10/2011	1/7/2014
Inactive	Golden Rule Insurance Company	301943	Agent - Health	12/22/2005	12/13/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Life	12/22/2005	12/13/2012
Inactive	Great American Casualty Insurance Company	301764	Agent - General Lines	3/31/1988	3/31/1998
Inactive	Great Southern Life Insurance Company	301443	Agent - Health	8/28/1998	2/3/2003
Inactive	Great Southern Life Insurance Company	301443	Agent - Life	8/28/1998	2/3/2003
Inactive	Hallmark National Insurance Company	300494	Agent - Casualty	10/11/2004	1/22/2018
Inactive	Hallmark National Insurance Company	300494	Agent - Property	10/11/2004	1/22/2018
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	10/11/2004	10/13/2005
Inactive	Hartford Accident and Indemnity Company	301917	Agent - General Lines	6/28/1985	8/15/2000
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	10/11/2004	10/13/2005
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	10/11/2004	10/13/2005
Inactive	Hartford Casualty Insurance Company	301332	Agent - General Lines	6/28/1985	8/15/2000
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	10/11/2004	10/13/2005
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	10/11/2004	10/13/2005
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	6/28/1985	8/15/2000
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	10/11/2004	10/13/2005
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	10/11/2004	10/13/2005
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - General Lines	11/10/1986	8/15/2000
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	10/11/2004	10/13/2005
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	10/11/2004	10/13/2005
Inactive	Hartford Underwriters Insurance Company	301064	Agent - General Lines	6/28/1985	8/15/2000
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	10/11/2004	10/13/2005
Inactive	Health Resources Inc.	301210	Agent - Prepaid Dental Plan	3/20/2000	4/2/2001
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/26/2007	9/8/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	3/26/2007	9/8/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	3/26/2007	9/8/2010
Inactive	Infinity Casualty Insurance Company	301280	Agent - Casualty	8/15/2000	12/16/2003
Inactive	Infinity Casualty Insurance Company	301280	Agent - General Lines	6/5/2000	8/15/2000
Inactive	Inter-State Assurance Company	301556	Agent - Life	11/17/1999	12/26/2001
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/11/2008	9/8/2010
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/11/2008	9/8/2010
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	1/20/2005	12/14/2006
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	1/20/2005	12/14/2006
Inactive	LifeUSA Insurance Company	300386	Agent - Health	6/29/1999	8/2/2002
Inactive	LifeUSA Insurance Company	300386	Agent - Life	6/29/1999	8/2/2002
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	10/11/2004	5/21/2007
Inactive	Meridian Security Insurance Company	300423	Agent - Casualty	2/6/2007	2/5/2014
Inactive	Meridian Security Insurance Company	300423	Agent - Property	2/6/2007	2/5/2014
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	7/27/2001	9/23/2003
Inactive	Ohio Farmers Insurance Company	301667	Agent - Casualty	10/11/2004	8/24/2009
Inactive	Ohio Farmers Insurance Company	301667	Agent - General Lines	12/31/1998	8/15/2000
Inactive	Ohio Farmers Insurance Company	301667	Agent - Property	10/11/2004	8/24/2009
Inactive	Omni Insurance Company	301545	Agent - General Lines	10/20/1998	3/31/2000
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	10/11/2004	5/13/2013
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	10/11/2004	5/13/2013
Inactive	Progressive Max Insurance Company	301034	Agent - Casualty	10/11/2004	11/26/2007
Inactive	Progressive Max Insurance Company	301034	Agent - Property	10/11/2004	11/26/2007
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	10/11/2004	5/13/2013
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	10/11/2004	5/13/2013
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Casualty	10/11/2004	12/28/2005
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Property	10/11/2004	12/28/2005
Inactive	Response Worldwide Direct Auto Insurance Company	300121	Agent - General Lines	3/31/1988	3/31/1998
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	10/11/2004	2/5/2014
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Property	10/11/2004	2/5/2014
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	10/11/2004	2/5/2014
Inactive	State Automobile Mutual Insurance Company	301824	Agent - General Lines	2/19/1981	8/15/2000
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	10/11/2004	2/5/2014
Inactive	Time Insurance Company	300683	Agent - Health	10/11/2004	4/14/2005
Inactive	Time Insurance Company	300683	Agent - Life	10/11/2004	4/14/2005
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	8/15/2000	12/26/2001
Inactive	Trumbull Insurance Company	300242	Agent - General Lines	10/27/1998	8/15/2000
Inactive	Trumbull Insurance Company	300242	Agent - Property	8/15/2000	12/26/2001
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	10/11/2004	10/13/2005
Inactive	Twin City Fire Insurance Company	300721	Agent - General Lines	6/28/1985	8/15/2000
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	10/11/2004	10/13/2005
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	11/3/2004	9/26/2007
Inactive	United Financial Casualty Company	301886	Agent - Casualty	12/2/2005	5/13/2013
Inactive	United Financial Casualty Company	301886	Agent - Property	12/2/2005	5/13/2013
Inactive	West Coast Life Insurance Company	301607	Agent - Life	10/11/2004	9/4/2009
Inactive	Westfield Insurance Company	301950	Agent - Casualty	10/11/2004	8/24/2009
Inactive	Westfield Insurance Company	301950	Agent - General Lines	12/31/1998	8/15/2000
Inactive	Westfield Insurance Company	301950	Agent - Property	10/11/2004	8/24/2009
Inactive	Windhaven National Insurance Company	300094	Agent - Casualty	8/15/2000	2/19/2004
Inactive	Windhaven National Insurance Company	300094	Agent - General Lines	6/5/2000	8/15/2000

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 - Life	10/11/2004	6/21/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	10/11/2004	6/21/2008
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	8/3/2005	1/10/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/13/2013	7/2/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/13/2013	7/2/2018
Inactive	Medlink Inc	400721	Agent - Life	10/11/2004	7/2/2018
Inactive	Medlink Inc	400721	Agent - Health	10/11/2004	7/2/2018