DEPARTMENT OF INSURANCE

Name	CHA Health (TPA) DBA : CHA Health	DOIID	397883	NAIC NPN	125673

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Resident	Administrator	Not Applicable	1/7/2002	3/31/2010

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.

Address Information

Type	Address
Business / Home Office	300 West Vine Street Lexington, KY 40507
Forwarding Residence Address

Phone Information

Type	Phone
Business / Home Office	(859) 232-8686