DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Chavis, Trisha Lynn	DOIID	782458	NAIC NPN	994783

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	5/23/2012	10/22/2015
Inactive	Non Resident	Agent	Health	6/5/2012	10/22/2015
* 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	CompBenefits Dental, Inc.	591692	Agent - Health	7/20/2012	5/20/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/20/2012	5/20/2014
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	9/6/2012	10/22/2015
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	9/6/2012	10/22/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/12/2012	5/20/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/20/2012	5/20/2014
Inactive	Humana Insurance Company	301104	Agent - Health	7/13/2012	5/20/2014
Inactive	Humana Insurance Company	301104	Agent - Life	7/13/2012	5/20/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/20/2012	5/20/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/20/2012	5/20/2014
Inactive	Kanawha Insurance Company	300127	Agent - Health	6/5/2013	5/20/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	6/5/2013	5/20/2014
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	6/1/2012	10/22/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ins Dialogue Agency LLC	798353	Agent - Life	7/13/2015	10/22/2015
Inactive	Ins Dialogue Agency LLC	798353	Agent - Health	7/13/2015	10/22/2015
Inactive	SelectQuote Insurance Services	533194	Agent - Life	7/16/2012	10/22/2015