DEPARTMENT OF INSURANCE

Affiliations

Name	Chauncey, Robert Joseph	DOIID	834651	NAIC NPN	418684

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	2/25/2014	3/31/2025
Pending Replacement	Non Resident	Agent	Life	2/25/2014	3/31/2025
* 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

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/18/2017	12/12/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022	2/21/2023
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	3/13/2014	3/14/2019
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/13/2014	12/12/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	12/12/2024
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	3/13/2014	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/13/2014	12/12/2024
Inactive	Humana Insurance Company	301104	Agent - Health	3/13/2014	12/12/2024
Inactive	Humana Insurance Company	301104	Agent - Life	3/13/2014	12/12/2024
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	3/13/2014	12/12/2024
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	3/13/2014	12/12/2024
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	12/12/2024
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	12/12/2024
Inactive	Kanawha Insurance Company	300127	Agent - Health	3/13/2014	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	3/13/2014	10/22/2015
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/22/2015	2/21/2023
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/8/2016	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	7/22/2015	12/5/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/10/2015	2/21/2023
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/28/2019	12/28/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/28/2019	12/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ETQ HK SPV Inc	836619	Agent - Health	3/25/2014	12/12/2024