DEPARTMENT OF INSURANCE

Affiliations

Name	Chicoine, Gregory Louis	DOIID	822660	NAIC NPN	17020301

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/1/2013	8/31/2022
* 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	10/9/2013	7/20/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/9/2013	7/20/2017
Inactive	American Continental Insurance Company	643130	Agent - Health	10/7/2013	11/12/2014
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/29/2020	12/14/2021
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/23/2021	12/14/2021
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/23/2021	12/14/2021
Inactive	CareSource Kentucky Co.	838179	Agent - Health	9/30/2020	10/9/2022
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/14/2013	5/4/2015
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/23/2021	12/14/2021
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018	11/21/2019
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/14/2013	5/4/2015
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/14/2013	7/20/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Health	9/9/2020	9/2/2021
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	5/4/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/14/2013	5/4/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/14/2013	5/4/2015
Inactive	Humana Insurance Company	301104	Agent - Health	10/14/2013	5/4/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/14/2013	5/4/2015
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	5/4/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/14/2013	5/4/2015
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/25/2015	1/18/2017
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/8/2016	1/18/2017
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	12/23/2015	12/5/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	12/23/2015	1/18/2017

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	10/8/2013	1/29/2020
Inactive	Retiremed IQ, LLC	682484	Agent - Health	10/1/2013	1/29/2020