DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Chavis, Robert William	DOIID	671895	NAIC NPN	9958380

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/13/2015	11/30/2017
* 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	CIGNA Health & Life Insurance Company	301783	Agent - Health	11/21/2017	11/30/2017
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/16/2015	9/13/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/28/2016	12/21/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/28/2016	12/21/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/28/2016	12/21/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/28/2016	12/21/2017
Inactive	Humana Insurance Company	301104	Agent - Health	10/28/2016	12/21/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/28/2016	12/21/2017
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/28/2016	12/21/2017
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/28/2016	12/21/2017
Inactive	HumanaDental Insurance Company	301457	Agent - Health	11/16/2011	5/13/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/28/2011	5/13/2013
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/13/2015	3/6/2017
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/9/2016	3/6/2017
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/13/2015	12/5/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/13/2015	3/6/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	2/1/2008	5/13/2013