DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Chambers, Gary Dwayn	DOIID	646449	NAIC NPN	9001326

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	5/29/2009	1/1/2015
Inactive	Resident	Agent	Health	5/29/2009	1/1/2015
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	1/6/2011	6/13/2014
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	1/6/2011	6/13/2014
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/5/2008	12/31/2008
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/5/2008	12/31/2008
Inactive	Continental American Insurance Company	301700	Agent - Health	4/4/2013	1/1/2015
Inactive	Continental American Insurance Company	301700	Agent - Life	4/4/2013	1/1/2015

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 - Health	2/5/2008	6/21/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	2/5/2008	6/21/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/27/2008	12/31/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/27/2008	12/31/2008