DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Bristol, Chanelle Monae	DOIID	1117614	NAIC NPN	19698704

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/30/2023		2/28/2026
Active	Non Resident	Agent	Personal Lines	1/21/2021		2/28/2026
* 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	12/15/2025	02/28/2026

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	9/6/2023	1/22/2025
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/6/2023	1/22/2025
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/6/2023	1/22/2025
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	8/30/2023	8/13/2024
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Personal Lines	2/1/2021	10/4/2023
Inactive	Humana Insurance Company	301104	Agent - Health	1/22/2024	5/16/2024
Inactive	SilverScript Insurance Company	663526	Agent - Health	9/6/2023	1/22/2025
Inactive	State Farm Fire and Casualty Company	301809	Agent - Personal Lines	4/18/2025	7/30/2025
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Personal Lines	4/18/2025	7/30/2025
Inactive	USAA Casualty Insurance Company	300995	Agent - Personal Lines	2/1/2021	10/4/2023
Inactive	USAA General Indemnity Company	300131	Agent - Personal Lines	2/1/2021	10/4/2023
Inactive	United Services Automobile Association	300158	Agent - Personal Lines	2/1/2021	10/4/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/30/2023	8/13/2024
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/30/2023	8/13/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ttec Financial Services Management LLC	881063	Agent - Personal Lines	3/23/2021	9/29/2023