DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Valentine, Chalmers Peyton	DOIID	868150	NAIC NPN	1677768

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	2/5/2015		7/31/2026
Active	Non Resident	Agent	Health	2/5/2015		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	Aetna Health Inc. (PA)	660717	Agent - Health	9/4/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/4/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	9/4/2023
Active	Mutual of Omaha Insurance Company	301012	Agent - Health	5/6/2020
Active	SilverScript Insurance Company	663526	Agent - Health	9/4/2023
Active	United World Life Insurance Company	300532	Agent - Health	5/6/2020
Active	United of Omaha Life Insurance Company	300156	Agent - Health	5/6/2020
Active	United of Omaha Life Insurance Company	300156	Agent - Life	5/6/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Securities America Inc.	400225	Agent - Life	7/28/2020	11/25/2020
Inactive	Securities America Inc.	400225	Agent - Health	7/28/2020	11/25/2020