DEPARTMENT OF INSURANCE

Affiliations

Name	Chance, Mary Beth	DOIID	662831	NAIC NPN	9621273

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	9/24/2007	6/30/2026
Active	Non Resident	Agent	Health	9/24/2007	6/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

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	05/09/2024	05/09/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	10/15/2019
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	10/15/2019
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	12/5/2019	12/30/2020
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	12/5/2019	12/30/2020
Inactive	American General Life Insurance Company	301585	Agent - Health	12/13/2011	12/20/2013
Inactive	American General Life Insurance Company	301585	Agent - Life	12/13/2011	12/20/2013
Active	American Heritage Life Insurance Company	300272	Agent - Health	12/31/2007
Active	American Heritage Life Insurance Company	300272	Agent - Life	12/31/2007
Inactive	Annuity Investors Life Insurance Company	300715	Agent - Life	8/7/2009	12/15/2020
Active	Banner Life Insurance Company	301696	Agent - Life	12/24/2015
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Life	9/5/2018
Active	Fidelity Security Life Insurance Company	300466	Agent - Health	7/26/2019
Active	Fidelity Security Life Insurance Company	300466	Agent - Life	7/26/2019
Inactive	Genworth Life Insurance Company	300623	Agent - Health	2/10/2014	12/14/2016
Inactive	Genworth Life Insurance Company	300623	Agent - Life	2/10/2014	12/14/2016
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	11/21/2013	12/14/2016
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	11/21/2013	12/14/2016
Active	Golden Rule Insurance Company	301943	Agent - Health	8/11/2022
Active	Golden Rule Insurance Company	301943	Agent - Life	8/11/2022
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	8/6/2018	10/27/2021
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	8/6/2018	10/27/2021
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	8/7/2009	9/20/2010
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	8/7/2009	12/6/2011
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	10/25/2019	5/24/2021
Inactive	Pacific Life Insurance Company	301848	Agent - Life	11/11/2020	12/10/2022
Active	Principal National Life Insurance Company	301926	Agent - Life	7/10/2017
Active	Protective Life Insurance Company	300638	Agent - Health	12/22/2014
Active	Protective Life Insurance Company	300638	Agent - Life	12/22/2014
Inactive	Pruco Life Insurance Company	300954	Agent - Health	11/16/2009	12/23/2014
Inactive	Pruco Life Insurance Company	300954	Agent - Life	7/22/2021	12/21/2022
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	6/18/2009	5/6/2022
Active	Security Benefit Life Insurance Company	300583	Agent - Health	9/29/2019
Active	Security Benefit Life Insurance Company	300583	Agent - Life	9/29/2019
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	10/1/2009	9/29/2012
Active	SilverScript Insurance Company	663526	Agent - Health	10/15/2019
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Health	7/29/2019	12/29/2023
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	7/29/2019	12/29/2023
Active	Symetra Life Insurance Company	301691	Agent - Health	1/25/2022
Active	Symetra Life Insurance Company	301691	Agent - Life	1/25/2022
Inactive	The Savings Bank Mutual Life Insurance Company of Massachusetts	690290	Agent - Life	4/17/2017	12/17/2020
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	11/13/2012	8/2/2019
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	11/13/2012	11/2/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Dental Choice Agency Inc.	398085	Agent - Health	7/26/2019