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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	05/15/2026	07/31/2026

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