DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Chance, Julia Yurievna	DOIID	769538	NAIC NPN	7552489

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/14/2021		9/30/2024
* 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	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	1/24/2022
Active	Starmount Life Insurance Company	628031	Agent - Health	1/24/2022
Active	UNUM Life Insurance Company of America	300817	Agent - Health	1/24/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/24/2012	12/12/2012
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/24/2012	12/12/2012
Active	Unum Insurance Company	301499	Agent - Health	1/24/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Custom Benefit Programs Inc	630774	Agent - Health	2/16/2022