DEPARTMENT OF INSURANCE

Affiliations

Name	Chuck Berry Insurance Agency	DOIID	802103	NAIC NPN	16874268

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Life	1/24/2013	3/31/2027
Active	Resident	Agent	Health	1/24/2013	3/31/2027
* 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	01/15/2025	03/31/2025	03/12/2025	03/12/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	8/14/2023
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/14/2023	3/21/2025
Active	Aetna Life Insurance Company	301140	Agent - Health	8/14/2023
Inactive	American Retirement Life Insurance Company	706303	Agent - Health	11/16/2015	12/21/2018
Inactive	American Retirement Life Insurance Company	706303	Agent - Life	11/16/2015	12/21/2018
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	2/9/2013
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/17/2021	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/9/2013	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/9/2013	4/15/2025
Active	Banner Life Insurance Company	301696	Agent - Life	2/3/2016
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	3/2/2017	12/27/2022
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	3/2/2017	12/27/2022
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022	2/6/2025
Active	Cigna National Health Insurance Company	300235	Agent - Health	9/20/2022
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Life	8/16/2023
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/25/2021
Inactive	Humana Insurance Company	301104	Agent - Health	8/22/2023	12/12/2024
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	11/5/2013	10/29/2015
Inactive	Omaha Health Insurance Company	301296	Agent - Health	1/3/2024	12/27/2024
Active	Pacific Life Insurance Company	301848	Agent - Health	4/1/2025
Active	Pacific Life Insurance Company	301848	Agent - Life	4/1/2025
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/14/2023	3/21/2025
Active	Standard Life and Accident Insurance Company	301534	Agent - Health	11/22/2016
Inactive	Time Insurance Company	300683	Agent - Health	12/9/2013	11/15/2019
Inactive	Time Insurance Company	300683	Agent - Life	12/9/2013	11/15/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/9/2014	2/6/2025
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/15/2016	12/20/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/5/2019	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	12/23/2021
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	1/9/2014	12/5/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	5/14/2016	2/6/2025
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	2/3/2022	8/29/2022
Inactive	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	9/26/2022	10/13/2023
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	2/3/2022	8/26/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Berry, Charles Mcclelland	346344	Agent - Health	1/24/2013
Active	Berry, Charles Mcclelland	346344	Agent - Life	1/24/2013