DEPARTMENT OF INSURANCE
Affiliations
NameChavez, Chandler MarieDOIID952059NAIC NPN17971620
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife4/21/20171/31/2020 
InactiveNon ResidentAgentHealth4/21/20171/31/2020 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAetna Health Inc. (PA)660717Agent - Health11/21/20171/31/2020
InactiveAetna Life Insurance Company301140Agent - Health11/21/20171/31/2020
InactiveAetna Life Insurance Company301140Agent - Life11/21/20171/31/2020
InactiveAnthem Life Insurance Company301209Agent - Health7/18/20171/31/2020
InactiveAnthem Life Insurance Company301209Agent - Life7/18/20171/31/2020
InactiveDental Concern Inc. (The)301641Agent - Health3/15/201812/10/2018
InactiveGuardian Life Insurance Company of America301316Agent - Health8/7/20171/31/2020
InactiveGuardian Life Insurance Company of America301316Agent - Life8/7/20171/31/2020
InactiveHumana Health Plan, Inc.300142Agent - Health3/8/20186/15/2018
InactiveHumana Insurance Company301104Agent - Health3/8/20186/15/2018
InactiveHumana Insurance Company301104Agent - Life3/8/20186/15/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Health3/8/20186/15/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Life3/8/20186/15/2018
InactiveProvident Life and Accident Insurance Company301525Agent - Health4/9/20181/31/2020
InactiveProvident Life and Accident Insurance Company301525Agent - Life4/9/20181/31/2020
InactiveUNUM Life Insurance Company of America300817Agent - Health4/9/20181/31/2020
InactiveUNUM Life Insurance Company of America300817Agent - Life4/9/20181/31/2020
InactiveUnited of Omaha Life Insurance Company300156Agent - Health3/19/20182/16/2020
InactiveUnited of Omaha Life Insurance Company300156Agent - Life3/19/20182/16/2020
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDental Choice Agency Inc.398085Agent - Health4/13/20181/31/2020
InactiveDesignated Agent Company Inc.681257Agent - Life7/18/20171/31/2020
InactiveDesignated Agent Company Inc.681257Agent - Health7/18/20171/31/2020
InactivePaychex Insurance Agency Inc509469Agent - Life7/18/20171/23/2019
InactivePaychex Insurance Agency Inc509469Agent - Health7/18/20171/23/2019

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