DEPARTMENT OF INSURANCE
Affiliations
NameParks, Chemikia ShantaDOIID1200700NAIC NPN20283908
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
Pending ReplacementNon ResidentAgentLife4/21/2022 6/30/2025
Pending ReplacementNon ResidentAgentPersonal Lines4/21/2022 6/30/2025
Pending ReplacementNon ResidentAgentHealth4/21/2022 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAMEX Assurance Company301728Agent - Health5/11/20221/10/2023
InactiveAMEX Assurance Company301728Agent - Personal Lines5/11/20221/10/2023
InactiveAccendo Insurance Company300312Agent - Health5/2/202311/17/2023
Pending ReplacementAccendo Insurance Company300312Agent - Life5/2/2023 
Pending ReplacementAetna Health Inc. (PA)660717Agent - Health4/24/2023 
Pending ReplacementAetna Health and Life Insurance Company300523Agent - Health5/2/2023 
Pending ReplacementAetna Health of Ohio Inc.1065035Agent - Health4/24/2023 
Pending ReplacementAetna Life Insurance Company301140Agent - Health4/24/2023 
InactiveCIGNA Health & Life Insurance Company301783Agent - Health9/2/20223/20/2023
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/20234/30/2025
Pending ReplacementContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health5/2/2023 
Pending ReplacementContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life5/2/2023 
InactiveSierra Health and Life Insurance Company Inc.300357Agent - Health7/20/20234/30/2025
Pending ReplacementSilverScript Insurance Company663526Agent - Health4/24/2023 
InactiveUnitedHealthcare Insurance Company300946Agent - Health7/20/20234/30/2025
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health7/20/20234/30/2025
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
DeniedAssurant Insurance Agency, Inc559398Agent - Life  
InactiveAssurant Insurance Agency, Inc559398Agent - Health7/29/20221/11/2023

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