DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hawbaker, Chelsea	DOIID	893119	NAIC NPN	17714415

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	9/11/2019		8/31/2026
Active	Non Resident	Agent	Life	9/11/2019		8/31/2026
Active	Non Resident	Agent	Health	9/11/2019		8/31/2026
Active	Non Resident	Agent	Property	9/11/2019		8/31/2026
* 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	06/15/2024	08/31/2024	07/12/2024	07/12/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Continental American Insurance Company	301700	Agent - Health	12/6/2021
Active	Continental American Insurance Company	301700	Agent - Life	12/6/2021
Inactive	National Casualty Company	301483	Agent - Casualty	9/20/2016	8/31/2018
Inactive	National Casualty Company	301483	Agent - Property	9/20/2016	8/31/2018
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	11/10/2015	8/31/2018
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	11/10/2015	8/31/2018
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	11/10/2015	8/31/2018
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	11/10/2015	8/31/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	DVM Insurance Agency	636779	Agent - Property	12/5/2016	8/31/2018
Inactive	DVM Insurance Agency	636779	Agent - Casualty	12/5/2016	8/31/2018