DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Chavarin, Jose	DOIID	1288105	NAIC NPN	20794959

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/27/2023		9/30/2026
* 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	07/15/2026	09/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	8/6/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	8/6/2023
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/27/2023	9/14/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	7/27/2023	9/14/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	7/27/2023	9/14/2023
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	7/27/2023	9/14/2023
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	7/5/2024
Active	SilverScript Insurance Company	663526	Agent - Health	8/6/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	eHealthInsurance Services Inc.	514105	Agent - Health	8/7/2023	11/27/2023