DEPARTMENT OF INSURANCE

Affiliations

Name	Chavious, Glenn T	DOIID	561726	NAIC NPN	2299110

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	12/12/2002		6/30/2026
Active	Non Resident	Agent	Casualty	12/12/2002		6/30/2026
Active	Non Resident	Agent	Life	5/27/2003		6/30/2026
Active	Non Resident	Agent	Health	5/27/2003		6/30/2026
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	4/15/2014	8/15/2019
* 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
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/19/2023
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	7/19/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/7/2023	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/7/2023	4/15/2025
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	3/28/2011	12/10/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/28/2011	12/10/2012
Inactive	Federal Insurance Company	301144	Agent - Casualty	7/21/2003	7/27/2004
Inactive	Federal Insurance Company	301144	Agent - Property	7/21/2003	7/27/2004
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	11/24/2012	12/17/2014
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	11/24/2012	12/17/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/28/2011	12/10/2012
Inactive	Humana Insurance Company	301104	Agent - Health	3/28/2011	12/10/2012
Inactive	Humana Insurance Company	301104	Agent - Life	3/28/2011	12/10/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	3/28/2011	12/10/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	3/28/2011	12/10/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Health	3/17/2012	12/14/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	3/17/2012	12/14/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	3/28/2011	12/10/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	3/28/2011	12/10/2012
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	12/18/2012
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	1/17/2013	12/17/2014
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	1/17/2013	12/17/2014
Active	Wellpoint Life and Health Insurance Company	300469	Agent - Health	4/6/2023
Active	Wellpoint Life and Health Insurance Company	300469	Agent - Life	4/6/2023
Inactive	West Coast Life Insurance Company	301607	Agent - Life	9/30/2003	12/8/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Altus Specialty Group LLC	755301	Agent - Casualty	5/31/2011	3/31/2015
Inactive	Altus Specialty Group LLC	755301	Agent - Property	5/31/2011	3/31/2015
Inactive	Altus Specialty Group LLC	755301	Agent - Health	5/31/2011	3/31/2015
Inactive	Altus Specialty Group LLC	755301	Agent - Life	5/31/2011	3/31/2015
Inactive	Arthur J. Gallagher and Co. of Massachusetts, Inc.	583479	Agent - Casualty	1/23/2004	7/27/2004
Inactive	Arthur J. Gallagher and Co. of Massachusetts, Inc.	583479	Agent - Property	1/23/2004	7/27/2004
Inactive	Arthur J. Gallagher and Co. of Massachusetts, Inc.	583479	Agent - Life	1/23/2004	12/31/2005
Active	Escalon Insurance Services LLC	1296973	Agent - Casualty	9/7/2023
Active	Escalon Insurance Services LLC	1296973	Agent - Property	9/7/2023
Active	Escalon Insurance Services LLC	1296973	Agent - Health	9/7/2023
Active	Escalon Insurance Services LLC	1296973	Agent - Life	9/7/2023
Inactive	Industria Risk & Insurance Services LLC	987150	Agent - Casualty	3/13/2018	6/13/2019
Inactive	Industria Risk & Insurance Services LLC	987150	Agent - Property	3/13/2018	6/13/2019
Inactive	Industria Risk & Insurance Services LLC	987150	Agent - Health	3/13/2018	6/13/2019
Inactive	Industria Risk & Insurance Services LLC	987150	Agent - Life	3/13/2018	6/13/2019
Inactive	Industria Risk & Insurance Services LLC	987150	Surplus Lines Broker - Not Applicable	3/13/2018	8/15/2019
Inactive	Ingenium Specialty Programs, LLC	1040664	Agent - Casualty	5/20/2019	8/20/2019
Inactive	Ingenium Specialty Programs, LLC	1040664	Agent - Property	5/20/2019	8/20/2019
Inactive	Ingenium Specialty Programs, LLC	1040664	Agent - Health	5/20/2019	8/20/2019
Inactive	Ingenium Specialty Programs, LLC	1040664	Agent - Life	5/20/2019	8/20/2019
Inactive	Intercontinental Holdings Llc	751460	Agent - Casualty	4/23/2014	3/31/2017
Inactive	Intercontinental Holdings Llc	751460	Agent - Property	4/23/2014	3/31/2017
Inactive	Intercontinental Holdings Llc	751460	Agent - Health	2/27/2013	3/31/2017
Denied	Intercontinental Holdings Llc	751460	Agent - Life
Inactive	Intercontinental Holdings Llc	751460	Surplus Lines Broker - Not Applicable	4/23/2014	3/31/2017
Inactive	Profound Insurance Programs, LLC	1058520	Agent - Casualty	10/3/2019	3/26/2024
Inactive	Profound Insurance Programs, LLC	1058520	Agent - Property	10/3/2019	3/26/2024
Inactive	Profound Insurance Programs, LLC	1058520	Agent - Health	10/3/2019	3/26/2024
Inactive	Profound Insurance Programs, LLC	1058520	Agent - Life	10/3/2019	3/26/2024