DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Cotton, Chantelle D	DOIID	806987	NAIC NPN	7466804

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	11/8/2023		7/31/2026
Active	Non Resident	Agent	Life	11/8/2023		7/31/2026
* 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
Active	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	11/10/2023
Inactive	National Teachers Associates Life Insurance Company	300107	Agent - Health	8/1/2013	7/25/2016
Inactive	National Teachers Associates Life Insurance Company	300107	Agent - Life	8/1/2013	7/25/2016
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	3/13/2024	9/23/2024
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	3/13/2024	9/23/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	National Teacher Associates of Kentucky Inc.	399320	Agent - Life	8/7/2013	3/31/2016
Inactive	National Teacher Associates of Kentucky Inc.	399320	Agent - Health	8/7/2013	3/31/2016