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DEPARTMENT OF INSURANCE
Affiliations
Name
Dash, Chancellor
DOIID
1008215
NAIC NPN
17131600
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Health
9/4/2018
5/31/2022
Inactive
Non Resident
Agent
Life
9/4/2018
5/31/2022
* 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
AXIS Insurance Company
301290
Agent - Health
12/9/2019
7/11/2022
Inactive
Aetna Health Inc. (PA)
660717
Agent - Health
10/15/2018
5/31/2022
Inactive
Aetna Health of Ohio Inc.
1065035
Agent - Health
7/25/2020
5/31/2022
Inactive
Aetna Life Insurance Company
301140
Agent - Health
10/15/2018
5/31/2022
Inactive
Aetna Life Insurance Company
301140
Agent - Life
10/15/2018
5/31/2022
Inactive
American Family Life Assurance Company of Columbus (AFLAC)
301781
Agent - Health
10/17/2019
7/23/2020
Inactive
American Financial Security Life Insurance Co.
301635
Agent - Health
11/25/2019
5/31/2022
Inactive
Anthem Health Plans of Kentucky, Inc.
300999
Agent - Health
9/3/2020
5/31/2022
Inactive
Anthem Health Plans of New Hampshire, Inc.
944064
Agent - Health
9/23/2021
5/31/2022
Inactive
Anthem Insurance Companies, Inc.
300941
Agent - Health
9/26/2021
5/31/2022
Inactive
Anthem Life Insurance Company
301209
Agent - Health
9/3/2020
5/31/2022
Inactive
Anthem Life Insurance Company
301209
Agent - Life
9/3/2020
5/31/2022
Inactive
Arcadian Health Plan, Inc.
728196
Agent - Health
1/24/2019
4/8/2020
Inactive
Aspen American Insurance Company
301513
Agent - Health
1/6/2020
12/14/2020
Inactive
Chesapeake Life Insurance Company (The)
301017
Agent - Health
1/4/2019
6/8/2022
Inactive
Chesapeake Life Insurance Company (The)
301017
Agent - Life
1/4/2019
6/8/2022
Inactive
Compcare Health Services Insurance Corporation
948751
Agent - Health
9/16/2021
5/31/2022
Inactive
Continental American Insurance Company
301700
Agent - Health
1/30/2019
10/1/2019
Inactive
Continental American Insurance Company
301700
Agent - Life
1/30/2019
10/1/2019
Inactive
Federal Insurance Company
301144
Agent - Health
10/28/2020
6/13/2022
Inactive
First Health Life & Health Insurance Company
301735
Agent - Health
10/15/2018
5/31/2022
Inactive
Golden Rule Insurance Company
301943
Agent - Health
6/4/2020
6/2/2022
Inactive
Golden Rule Insurance Company
301943
Agent - Life
6/4/2020
6/2/2022
Inactive
Humana Benefit Plan of Illinois, Inc.
781543
Agent - Health
10/24/2018
4/8/2020
Inactive
Humana Insurance Company
301104
Agent - Health
10/18/2018
4/8/2020
Inactive
Humana Insurance Company
301104
Agent - Life
10/18/2018
4/8/2020
Inactive
Molina Healthcare of Kentucky, Inc.
1035856
Agent - Health
10/22/2021
5/31/2022
Inactive
National Guardian Life Insurance Company
300596
Agent - Health
11/6/2020
5/4/2022
Inactive
Reserve National Insurance Company
301073
Agent - Health
10/26/2018
12/29/2020
Inactive
Reserve National Insurance Company
301073
Agent - Life
10/26/2018
12/29/2020
Inactive
SilverScript Insurance Company
663526
Agent - Health
10/17/2019
5/31/2022
Inactive
Southern Guaranty Insurance Company
969411
Agent - Health
10/9/2019
5/31/2022
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
10/2/2018
7/19/2022
Inactive
UnitedHealthcare Insurance Company of America
301552
Agent - Health
10/2/2018
12/21/2018
Inactive
UnitedHealthcare Insurance Company of the River Valley
1027817
Agent - Health
8/6/2019
7/19/2022
Inactive
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health
10/2/2018
12/23/2021
Inactive
UnitedHealthcare of Wisconsin, Inc.
871491
Agent - Health
10/2/2018
7/19/2022
Inactive
WellCare Health Insurance Company of Kentucky, Inc.
301478
Agent - Health
12/18/2019
5/31/2022
Inactive
WellCare Prescription Insurance Inc.
654329
Agent - Health
3/8/2019
5/31/2022
Inactive
Wellfleet Insurance Company
300542
Agent - Health
7/23/2021
5/31/2022
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 - Health
10/9/2019
4/19/2022
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