DEPARTMENT OF INSURANCE

Affiliations

Name	Chandler, Jasen Eric	DOIID	927898	NAIC NPN	18047580

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	9/6/2016	7/31/2018
Inactive	Non Resident	Agent	Health	9/6/2016	7/31/2018
* 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	10/4/2016	7/31/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/4/2016	7/31/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/4/2016	7/31/2018
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/20/2016	8/4/2017
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/28/2016	2/1/2018
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/4/2016	7/31/2018
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/28/2016	2/1/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/28/2016	2/1/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/28/2016	2/1/2018
Inactive	Humana Insurance Company	301104	Agent - Health	9/28/2016	2/1/2018
Inactive	Humana Insurance Company	301104	Agent - Life	9/28/2016	2/1/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/28/2016	2/1/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/28/2016	2/1/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	9/28/2016	2/1/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	2/1/2018
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	10/26/2016	1/23/2018
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	10/26/2016	1/23/2018
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/3/2016	8/2/2017
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	10/3/2016	8/2/2017
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/3/2016	8/2/2017
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/13/2017	8/15/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Extend Insurance Services, LLC	625753	Agent - Health	11/16/2016	8/31/2017
Inactive	Extend Insurance Services, LLC	625753	Agent - Life	11/16/2016	8/31/2017