DEPARTMENT OF INSURANCE

Affiliations

Name	Chartrand, Richard A	DOIID	914525	NAIC NPN	17062772

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	5/4/2016	4/30/2019
Inactive	Non Resident	Agent	Health	5/4/2016	4/30/2019
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	5/18/2016	4/30/2019
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	6/15/2017	5/8/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Health	5/18/2016	4/30/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Life	5/18/2016	4/30/2019
Inactive	American Continental Insurance Company	643130	Agent - Life	6/15/2017	5/8/2019
Inactive	American General Life Insurance Company	301585	Agent - Health	3/21/2018	4/30/2019
Inactive	American General Life Insurance Company	301585	Agent - Life	3/21/2018	4/30/2019
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Health	6/12/2017	4/30/2019
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	6/12/2017	4/30/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/26/2016	2/4/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/26/2016	2/4/2017
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	3/16/2018	4/30/2019
Inactive	Combined Insurance Company of America	301472	Agent - Health	11/1/2018	3/19/2019
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	5/11/2016	1/19/2017
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	6/15/2017	5/8/2019
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	6/15/2017	6/13/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	5/11/2016	1/19/2017
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	5/18/2016	4/30/2019
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/6/2017	6/8/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	5/11/2016	1/19/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/6/2017	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Health	10/6/2017	3/19/2019
Inactive	Humana Insurance Company	301104	Agent - Life	10/6/2017	3/19/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/1/2017	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/1/2017	6/8/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/6/2017	6/8/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/6/2017	6/8/2018
Inactive	Lumico Life Insurance Company	300354	Agent - Health	3/18/2019	4/30/2019
Inactive	Mutual of Omaha Medicare Advantage Company	979434	Agent - Health	9/25/2018	5/12/2019
Inactive	Omaha Health Insurance Company	301296	Agent - Health	1/15/2019	5/12/2019
Inactive	SILAC Insurance Company	300535	Agent - Health	6/9/2017	4/30/2019
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	6/10/2018	4/30/2019
Inactive	SilverScript Insurance Company	663526	Agent - Health	1/22/2018	4/30/2019
Inactive	Thrivent Financial for Lutherans	301101	Agent - Health	11/14/2017	3/19/2019
Inactive	United American Insurance Company	300910	Agent - Health	6/23/2017	5/8/2019
Inactive	United American Insurance Company	300910	Agent - Life	6/23/2017	5/8/2019
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/24/2018	3/27/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	5/26/2016	2/3/2017
Inactive	Designated Agent Company Inc.	681257	Agent - Health	5/26/2016	2/3/2017