DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Basora, Christopher A	DOIID	980385	NAIC NPN	18621767

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	1/4/2018	10/31/2020
Inactive	Non Resident	Agent	Life	1/4/2018	10/31/2020
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	3/19/2018	10/18/2018
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	3/19/2018	10/18/2018
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	4/12/2018	2/11/2019
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	4/2/2018	10/31/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Life	4/23/2018	10/18/2018
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	4/23/2018	10/31/2020