DEPARTMENT OF INSURANCE
Affiliations
NameChamberlain, Nicole MDOIID647977NAIC NPN9018730
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth1/19/2007 1/31/2026
ActiveNon ResidentAgentLife1/19/2007 1/31/2026
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Health9/10/202111/17/2023
ActiveAccendo Insurance Company300312Agent - Life6/10/2020 
ActiveAetna Health Inc. (PA)660717Agent - Health11/5/2012 
ActiveAetna Health and Life Insurance Company300523Agent - Health8/26/2015 
ActiveAetna Health of Ohio Inc.1065035Agent - Health8/6/2020 
ActiveAetna Life Insurance Company301140Agent - Health11/5/2012 
ActiveAetna Life Insurance Company301140Agent - Life11/5/2012 
InactiveAmerican Continental Insurance Company643130Agent - Health5/29/20126/6/2016
InactiveAmerican Continental Insurance Company643130Agent - Life5/29/20128/11/2021
InactiveAmerican Retirement Life Insurance Company706303Agent - Health9/24/201412/24/2015
InactiveAmerican Retirement Life Insurance Company706303Agent - Life9/24/201412/24/2015
ActiveAmeritas Life Insurance Corporation300126Agent - Health12/31/2016 
ActiveAmeritas Life Insurance Corporation300126Agent - Life12/31/2016 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health4/26/2021 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/28/202112/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health9/28/2021 
ActiveCIGNA Health & Life Insurance Company301783Agent - Health11/13/2017 
ActiveCIGNA Health & Life Insurance Company301783Agent - Life11/13/2017 
InactiveCapitol Life Insurance Company301514Agent - Health7/20/20206/21/2024
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/2022 
InactiveCompBenefits Dental, Inc.591692Agent - Health1/14/20106/15/2018
ActiveCompBenefits Insurance Company301864Agent - Health12/12/2024 
InactiveCompBenefits Insurance Company301864Agent - Life1/14/20107/2/2013
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/28/2021 
InactiveConnecticut General Life Insurance Company301333Agent - Health4/1/20096/11/2014
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health3/6/2018 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life3/4/2021 
ActiveCoventry Health and Life Insurance Company301771Agent - Health3/20/2009 
InactiveDental Concern Inc. (The)301641Agent - Health6/21/20106/15/2018
InactiveFederal Life Insurance Company300945Agent - Health5/1/20243/24/2025
ActiveFirst Health Life & Health Insurance Company301735Agent - Health3/20/2009 
InactiveGPM Health and Life Insurance Company927255Agent - Health10/8/20209/22/2021
InactiveGPM Health and Life Insurance Company927255Agent - Life10/8/20209/22/2021
InactiveGolden Rule Insurance Company301943Agent - Health11/2/20108/13/2012
InactiveGolden Rule Insurance Company301943Agent - Life11/2/20108/13/2012
InactiveGovernment Personnel Mutual Life Insurance Company301862Agent - Health4/8/20133/22/2016
InactiveGovernment Personnel Mutual Life Insurance Company301862Agent - Life4/8/20133/22/2016
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health12/6/201912/13/2022
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health10/10/20122/23/2018
ActiveHumana Health Plan, Inc.300142Agent - Health3/19/2025 
ActiveHumana Insurance Company301104Agent - Health8/6/2024 
InactiveHumana Insurance Company301104Agent - Life1/14/201012/13/2022
InactiveHumana Insurance Company of Kentucky300826Agent - Health1/14/20106/15/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Life1/14/20106/15/2018
InactiveHumana Medical Plan, Inc.801568Agent - Health10/13/201412/19/2019
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health10/12/20166/15/2018
InactiveKanawha Insurance Company300127Agent - Health1/9/201210/22/2015
InactiveKanawha Insurance Company300127Agent - Life1/9/201210/22/2015
InactiveLoyal Christian Benefit Association300958Agent - Health10/8/20155/15/2019
InactiveMutual of Omaha Insurance Company301012Agent - Health10/8/200812/26/2012
InactiveOmaha Health Insurance Company301296Agent - Health10/30/202012/27/2024
InactiveOmaha Insurance Company751908Agent - Health9/10/20149/22/2016
InactivePacifiCare Life and Health Insurance Company301304Agent - Health4/15/200911/5/2011
InactivePacifiCare Life and Health Insurance Company301304Agent - Life4/15/20097/17/2012
InactiveRevol One Insurance Company300681Agent - Health1/31/200710/5/2007
InactiveRevol One Insurance Company300681Agent - Life1/31/200710/5/2007
InactiveSecurity Life Insurance Company of America300936Agent - Health5/9/201412/31/2016
InactiveSecurity Life Insurance Company of America300936Agent - Life5/9/201412/31/2016
ActiveSilverScript Insurance Company663526Agent - Health2/23/2014 
InactiveUnited States Fire Insurance Company582240Agent - Health8/26/202112/27/2023
InactiveUnited World Life Insurance Company300532Agent - Health11/30/202010/22/2021
InactiveUnited of Omaha Life Insurance Company300156Agent - Health10/8/200812/26/2012
InactiveUnited of Omaha Life Insurance Company300156Agent - Life10/8/200812/26/2012
ActiveUnitedHealthcare Insurance Company300946Agent - Health4/15/2009 
ActiveUnitedHealthcare Insurance Company300946Agent - Life4/15/2009 
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/15/201612/20/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/5/201912/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/15/201812/23/2021
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health8/2/201112/5/2016
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/12/2015 
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health4/15/202112/28/2021
ActiveWellCare Prescription Insurance Inc.654329Agent - Health12/11/2018 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveInsuractive LLC820112Agent - Health2/16/2016 
ActiveInsuractive LLC820112Agent - Life2/16/2016 
InactiveQBE First Enterprises LLC610980Agent - Health5/9/20088/5/2013
InactiveQBE First Enterprises LLC610980Agent - Life10/8/20088/5/2013

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