DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Chaess, Shirley E	DOIID	740901	NAIC NPN	2056283

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/11/2019	4/30/2022
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	11/10/2010	4/30/2012
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/8/2020	4/30/2022
Inactive	CompBenefits Insurance Company	301864	Agent - Health	10/8/2020	4/30/2022
Inactive	Humana Insurance Company	301104	Agent - Health	10/21/2019	4/30/2022
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/8/2020	4/30/2022
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Health	11/18/2010	4/30/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Corporate Call Center, Inc	695480	Agent - Health	11/24/2010	4/30/2012
Inactive	Designated Agent Company Inc.	681257	Agent - Health	11/10/2010	4/30/2012