DEPARTMENT OF INSURANCE

Affiliations

Name	Chambers, Diane Alice	DOIID	642880	NAIC NPN	1309238

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Life	10/26/2006	6/30/2024
Pending Replacement	Non Resident	Agent	Health	7/21/2008	6/30/2024
Pending Replacement	Non Resident	Agent	Variable Life and Variable Annuities	10/26/2006	6/30/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	04/15/2024	06/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Accendo Insurance Company	300312	Agent - Life	10/3/2022
Pending Replacement	Aetna Health Inc. (PA)	660717	Agent - Health	8/12/2022
Pending Replacement	Aetna Health and Life Insurance Company	300523	Agent - Health	10/3/2022
Pending Replacement	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/12/2022
Pending Replacement	Aetna Life Insurance Company	301140	Agent - Health	8/12/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/28/2022	4/4/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	7/28/2022	4/4/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	7/28/2022	4/4/2024
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/31/2017	6/28/2022
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	8/3/2022	1/8/2024
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/28/2008	3/14/2019
Inactive	CompBenefits Insurance Company	301864	Agent - Health	11/14/2019	6/28/2022
Inactive	CompBenefits Insurance Company	301864	Agent - Life	7/28/2008	7/2/2013
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	7/28/2022	4/4/2024
Pending Replacement	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	10/3/2022
Pending Replacement	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	10/3/2022
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	6/28/2022
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	6/28/2022
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	12/24/2018	6/28/2022
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/28/2008	6/28/2022
Inactive	Humana Insurance Company	301104	Agent - Health	7/28/2008	6/28/2022
Inactive	Humana Insurance Company	301104	Agent - Life	7/28/2008	6/28/2022
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/28/2008	6/28/2022
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/28/2008	6/28/2022
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	6/28/2022
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	6/28/2022
Inactive	HumanaDental Insurance Company	301457	Agent - Health	9/1/2011	2/22/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	9/1/2011	2/22/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/21/2010	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/21/2010	10/22/2015
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Life	11/30/2006	10/1/2007
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Variable Life and Variable Annuities	11/30/2006	10/1/2007
Pending Replacement	SilverScript Insurance Company	663526	Agent - Health	8/12/2022
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	10/1/2007	1/10/2008
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Variable Life and Variable Annuities	10/1/2007	1/10/2008
Pending Replacement	United of Omaha Life Insurance Company	300156	Agent - Health	9/7/2022
Pending Replacement	United of Omaha Life Insurance Company	300156	Agent - Life	9/7/2022
Pending Replacement	United of Omaha Life Insurance Company	300156	Agent - Variable Life and Variable Annuities	9/7/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/3/2022	1/8/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/3/2022	12/22/2022
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/3/2022	1/8/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance IQ, LLC	919554	Agent - Life	3/27/2023	5/15/2024
Inactive	Assurance IQ, LLC	919554	Agent - Health	3/27/2023	5/15/2024
Inactive	Humana MarketPOINT Inc.	398092	Agent - Life	4/1/2009	6/28/2022
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	4/1/2009	6/28/2022