DEPARTMENT OF INSURANCE
Affiliations
NameChavious, Glenn TDOIID561726NAIC NPN2299110
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentCasualty12/12/20026/30/2026 
InactiveNon ResidentAgentLife5/27/20036/30/2026 
InactiveNon ResidentAgentHealth5/27/20036/30/2026 
InactiveNon ResidentAgentProperty12/12/20026/30/2026 
InactiveNon ResidentSurplus Lines BrokerNot Applicable4/15/20148/15/2019 
* 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
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health7/19/20236/30/2026
InactiveAnthem Insurance Companies, Inc.300941Agent - Health7/19/20236/30/2026
InactiveAnthem Life Insurance Company301209Agent - Health4/7/20234/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life4/7/20234/15/2025
InactiveCompBenefits Dental, Inc.591692Agent - Health3/28/201112/10/2012
InactiveDental Concern Inc. (The)301641Agent - Health3/28/201112/10/2012
InactiveFederal Insurance Company301144Agent - Casualty7/21/20037/27/2004
InactiveFederal Insurance Company301144Agent - Property7/21/20037/27/2004
InactiveHartford Casualty Insurance Company301332Agent - Casualty11/24/201212/17/2014
InactiveHartford Casualty Insurance Company301332Agent - Property11/24/201212/17/2014
InactiveHumana Health Plan, Inc.300142Agent - Health3/28/201112/10/2012
InactiveHumana Insurance Company301104Agent - Health3/28/201112/10/2012
InactiveHumana Insurance Company301104Agent - Life3/28/201112/10/2012
InactiveHumana Insurance Company of Kentucky300826Agent - Health3/28/201112/10/2012
InactiveHumana Insurance Company of Kentucky300826Agent - Life3/28/201112/10/2012
InactiveHumanaDental Insurance Company301457Agent - Health3/17/201212/14/2012
InactiveHumanaDental Insurance Company301457Agent - Life3/17/201212/14/2012
InactiveKanawha Insurance Company300127Agent - Health3/28/201112/10/2012
InactiveKanawha Insurance Company300127Agent - Life3/28/201112/10/2012
InactiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Health12/18/20126/30/2026
InactiveSentinel Insurance Company, Limited501696Agent - Casualty1/17/201312/17/2014
InactiveSentinel Insurance Company, Limited501696Agent - Property1/17/201312/17/2014
InactiveWellpoint Life and Health Insurance Company300469Agent - Health4/6/20236/30/2026
InactiveWellpoint Life and Health Insurance Company300469Agent - Life4/6/20236/30/2026
InactiveWest Coast Life Insurance Company301607Agent - Life9/30/200312/8/2008
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAltus Specialty Group LLC755301Agent - Casualty5/31/20113/31/2015
InactiveAltus Specialty Group LLC755301Agent - Property5/31/20113/31/2015
InactiveAltus Specialty Group LLC755301Agent - Health5/31/20113/31/2015
InactiveAltus Specialty Group LLC755301Agent - Life5/31/20113/31/2015
InactiveArthur J. Gallagher and Co. of Massachusetts, Inc.583479Agent - Casualty1/23/20047/27/2004
InactiveArthur J. Gallagher and Co. of Massachusetts, Inc.583479Agent - Property1/23/20047/27/2004
InactiveArthur J. Gallagher and Co. of Massachusetts, Inc.583479Agent - Life1/23/200412/31/2005
InactiveEscalon Insurance Services LLC1296973Agent - Casualty9/7/20236/30/2026
InactiveEscalon Insurance Services LLC1296973Agent - Property9/7/20236/30/2026
InactiveEscalon Insurance Services LLC1296973Agent - Health9/7/20236/30/2026
InactiveEscalon Insurance Services LLC1296973Agent - Life9/7/20236/30/2026
InactiveIndustria Risk & Insurance Services LLC987150Agent - Casualty3/13/20186/13/2019
InactiveIndustria Risk & Insurance Services LLC987150Agent - Property3/13/20186/13/2019
InactiveIndustria Risk & Insurance Services LLC987150Agent - Health3/13/20186/13/2019
InactiveIndustria Risk & Insurance Services LLC987150Agent - Life3/13/20186/13/2019
InactiveIndustria Risk & Insurance Services LLC987150Surplus Lines Broker - Not Applicable3/13/20188/15/2019
InactiveIngenium Specialty Programs, LLC1040664Agent - Casualty5/20/20198/20/2019
InactiveIngenium Specialty Programs, LLC1040664Agent - Property5/20/20198/20/2019
InactiveIngenium Specialty Programs, LLC1040664Agent - Health5/20/20198/20/2019
InactiveIngenium Specialty Programs, LLC1040664Agent - Life5/20/20198/20/2019
InactiveIntercontinental Holdings Llc751460Agent - Casualty4/23/20143/31/2017
InactiveIntercontinental Holdings Llc751460Agent - Property4/23/20143/31/2017
InactiveIntercontinental Holdings Llc751460Agent - Health2/27/20133/31/2017
DeniedIntercontinental Holdings Llc751460Agent - Life  
InactiveIntercontinental Holdings Llc751460Surplus Lines Broker - Not Applicable4/23/20143/31/2017
InactiveProfound Insurance Programs, LLC1058520Agent - Casualty10/3/20193/26/2024
InactiveProfound Insurance Programs, LLC1058520Agent - Property10/3/20193/26/2024
InactiveProfound Insurance Programs, LLC1058520Agent - Health10/3/20193/26/2024
InactiveProfound Insurance Programs, LLC1058520Agent - Life10/3/20193/26/2024

© Commonwealth of Kentucky. All rights reserved.