DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	CHCS Services, Inc	DOIID	397791	NAIC NPN	2750722

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	2/3/2023		3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Boudreaux, Patrick Allen	761494	Administrator - Not Applicable	9/20/2011	11/20/2012
Inactive	Deka, Partha Pratim	834449	Administrator - Not Applicable	4/7/2014	7/31/2017
Inactive	Fischer, Carl Harold	557214	Administrator - Not Applicable	11/20/2012	4/7/2014
Inactive	Hulett, Robert F	305072	Administrator - Not Applicable	10/1/1992	10/31/2004
Inactive	Jacobs, Gary M	665457	Administrator - Not Applicable	11/14/2007	5/20/2011
Inactive	Kubanek, Amy Lynn	1126499	Administrator - Not Applicable	11/9/2021	9/16/2022
Inactive	Kumar, Anup	747032	Administrator - Not Applicable	2/15/2011	11/20/2012
Inactive	Matthews, Rebecca R	1018124	Administrator - Not Applicable	4/4/2019	6/30/2021
Active	Richardson, Denice Lenille	1253917	Administrator - Not Applicable	2/3/2023
Inactive	Tedjeske, Rebecca Lyn	959804	Administrator - Not Applicable	7/31/2017	4/4/2019