DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Haymon, Chanel	DOIID	1052032	NAIC NPN	19004287

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/16/2019	6/30/2021
Pending Replacement	Non Resident	Agent	Casualty	11/17/2022		6/30/2025
Pending Replacement	Non Resident	Agent	Property	11/17/2022		6/30/2025
* 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	Amica Mutual Insurance Company	301405	Agent - Casualty	11/21/2022	8/13/2024
Inactive	Amica Mutual Insurance Company	301405	Agent - Property	11/21/2022	8/13/2024
Inactive	Amica Property and Casualty Insurance Company	962874	Agent - Casualty	11/21/2022	8/13/2024
Inactive	Amica Property and Casualty Insurance Company	962874	Agent - Property	11/21/2022	8/13/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/28/2019	12/28/2019
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/18/2019	6/30/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/18/2019	6/30/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	8/30/2019	6/30/2021