DEPARTMENT OF INSURANCE

Affiliations

Name	Chinchilla, Betheney Roxanne	DOIID	964850	NAIC NPN	18512295

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/24/2017		10/31/2026
* 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	08/15/2024	10/31/2024	08/14/2024	08/14/2024	Yes

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	1/27/2021	7/13/2022
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	1/27/2021	7/13/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	1/27/2021	7/13/2022
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	8/3/2022
Active	CHA HMO, Inc.	300662	Agent - Health	12/21/2023
Active	CompBenefits Insurance Company	301864	Agent - Health	8/3/2022
Inactive	Continental General Insurance Company	300691	Agent - Health	8/9/2018	1/25/2019
Active	Dental Concern Inc. (The)	301641	Agent - Health	2/14/2023
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/5/2022
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	8/10/2022
Active	Humana Health Plan, Inc.	300142	Agent - Health	1/2/2024
Active	Humana Insurance Company	301104	Agent - Health	8/3/2022
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/28/2017	11/16/2021
Active	Humana Medical Plan, Inc.	801568	Agent - Health	8/3/2022
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	8/3/2022
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/28/2017	8/9/2018
Inactive	SilverScript Insurance Company	663526	Agent - Health	1/27/2021	7/13/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/26/2021	12/3/2021
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	1/26/2021	12/3/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	1/26/2021	12/3/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	1/26/2021	12/3/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Humana MarketPOINT Inc.	398092	Agent - Health	6/14/2024