DEPARTMENT OF INSURANCE

Affiliations

Name	Chambers, David Lawrence	DOIID	562447	NAIC NPN	6143311

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	8/11/2009	3/31/2025
Active	Non Resident	Agent	Life	8/11/2009	3/31/2025
* 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	Accendo Insurance Company	300312	Agent - Health	7/5/2023	9/23/2023
Inactive	Accendo Insurance Company	300312	Agent - Life	7/5/2023	9/23/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	8/1/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/1/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	8/1/2023
Inactive	American Retirement Life Insurance Company	706303	Agent - Health	10/23/2015	8/25/2023
Inactive	American Retirement Life Insurance Company	706303	Agent - Life	10/23/2015	8/25/2023
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	7/14/2015
Inactive	Cigna National Health Insurance Company	300235	Agent - Health	4/1/2022	8/25/2023
Inactive	Cigna National Health Insurance Company	300235	Agent - Life	12/4/2009	9/22/2017
Inactive	Continental General Insurance Company	300691	Agent - Health	12/4/2009	3/13/2017
Inactive	Continental General Insurance Company	300691	Agent - Life	12/4/2009	3/13/2017
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/5/2023	9/23/2023
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	1/4/2015	7/6/2022
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	12/4/2009	8/25/2023
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	12/4/2009	8/25/2023
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Health	12/4/2009	2/18/2011
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	12/4/2009	2/18/2011
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	12/19/2002	5/31/2003
Inactive	Provident American Life & Health Insurance Company	300413	Agent - Health	12/4/2009	8/30/2017
Inactive	Provident American Life & Health Insurance Company	300413	Agent - Life	12/4/2009	8/30/2017
Inactive	Royal Neighbors of America	301646	Agent - Life	9/10/2009	12/29/2014
Active	SilverScript Insurance Company	663526	Agent - Health	8/1/2023
Inactive	United Teacher Associates Insurance Company	300747	Agent - Health	12/4/2009	2/24/2017
Inactive	United Teacher Associates Insurance Company	300747	Agent - Life	12/4/2009	2/24/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Ceres Sales of Ohio, LLC	559891	Agent - Health	9/20/2010
Active	Ceres Sales of Ohio, LLC	559891	Agent - Life	9/20/2010
Active	Cigna Ins Agency LLC	727510	Agent - Health	8/7/2015
Active	Cigna Ins Agency LLC	727510	Agent - Life	8/7/2015
Inactive	Olympic Health Management Services Inc	509827	Agent - Health	9/10/2015	3/31/2016
Inactive	Olympic Health Management Services Inc	509827	Agent - Life	9/10/2015	3/31/2016