DEPARTMENT OF INSURANCE

Affiliations

Name	Waker, Chelsea Brocquel	DOIID	852790	NAIC NPN	17363320

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	10/5/2022	5/31/2024
Inactive	Non Resident	Agent	Life	10/5/2022	5/31/2024
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	11/24/2014	5/31/2016
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	6/26/2023	8/2/2023
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/29/2016	4/8/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/29/2016	4/8/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/29/2016	4/8/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/29/2016	4/8/2017
Inactive	Humana Insurance Company	301104	Agent - Health	9/29/2016	4/8/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/29/2016	4/8/2017
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	9/29/2016	4/8/2017
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/19/2020	5/31/2022
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/19/2020	5/31/2022
Inactive	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	6/26/2023	8/2/2023
Inactive	Starmount Life Insurance Company	628031	Agent - Health	10/19/2020	5/31/2022
Inactive	Trustmark Insurance Company	300317	Agent - Health	9/29/2020	5/31/2022
Inactive	Trustmark Insurance Company	300317	Agent - Life	9/29/2020	5/31/2022
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/19/2020	5/31/2022
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/19/2020	5/31/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/26/2023	8/2/2023
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/22/2016	10/25/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/21/2014	10/16/2014
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	6/26/2023	8/2/2023
Inactive	Unum Insurance Company	301499	Agent - Health	10/19/2020	5/31/2022
Inactive	Unum Insurance Company	301499	Agent - Life	10/19/2020	5/31/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Optavise, LLC	671337	Agent - Health	10/14/2020	5/31/2022
Inactive	Optavise, LLC	671337	Agent - Life	10/14/2020	5/31/2022
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	10/27/2016	4/8/2017