DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Chavez, Jose Cain	DOIID	762983	NAIC NPN	8354639

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/8/2011	9/30/2013
Inactive	Non Resident	Agent	Life	9/8/2011	9/30/2013
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	11/4/2011	8/20/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Health	11/4/2011	8/20/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Life	11/4/2011	8/20/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/5/2011	7/31/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/5/2011	7/31/2012
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	2/10/2012	7/20/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	2/10/2012	7/20/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Health	10/31/2011	12/26/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Life	10/31/2011	12/26/2012
Inactive	Humana Insurance Company	301104	Agent - Health	9/22/2011	7/20/2012
Inactive	Humana Insurance Company	301104	Agent - Life	9/22/2011	7/20/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/18/2012	7/20/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/18/2012	7/20/2012
Inactive	Omaha Insurance Company	751908	Agent - Health	7/9/2012	7/30/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	6/1/2012	7/30/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	6/1/2012	7/30/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/22/2012	7/24/2012
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	1/22/2012	7/24/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/5/2011	7/31/2012
Inactive	Designated Agent Company Inc.	681257	Agent - Life	10/5/2011	7/31/2012
Inactive	Healthcompare Ins Services Inc	708319	Agent - Health	10/28/2011	7/30/2012
Inactive	Healthcompare Ins Services Inc	708319	Agent - Life	10/28/2011	7/30/2012