DEPARTMENT OF INSURANCE
Affiliations
NameChamberlain, Nicole MDOIID647977NAIC NPN9018730
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife1/19/2007 1/31/2026
ActiveNon ResidentAgentHealth1/19/2007 1/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent11/15/202501/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Health9/10/202111/17/2023
ActiveAccendo Insurance Company300312Agent - Life6/10/2020 
ActiveAetna Health Inc. (PA)660717Agent - Health11/5/2012 
ActiveAetna Health and Life Insurance Company300523Agent - Health8/26/2015 
ActiveAetna Health of Ohio Inc.1065035Agent - Health8/6/2020 
ActiveAetna Life Insurance Company301140Agent - Health11/5/2012 
ActiveAetna Life Insurance Company301140Agent - Life11/5/2012 
InactiveAmerican Continental Insurance Company643130Agent - Health5/29/20126/6/2016
InactiveAmerican Continental Insurance Company643130Agent - Life5/29/20128/11/2021
InactiveAmerican Retirement Life Insurance Company706303Agent - Health9/24/201412/24/2015
InactiveAmerican Retirement Life Insurance Company706303Agent - Life9/24/201412/24/2015
ActiveAmeritas Life Insurance Corporation300126Agent - Health12/31/2016 
ActiveAmeritas Life Insurance Corporation300126Agent - Life12/31/2016 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health4/26/2021 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/28/202112/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health9/28/2021 
ActiveCIGNA Health & Life Insurance Company301783Agent - Health11/13/2017 
ActiveCIGNA Health & Life Insurance Company301783Agent - Life11/13/2017 
InactiveCapitol Life Insurance Company301514Agent - Health7/20/20206/21/2024
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/2022 
InactiveCompBenefits Dental, Inc.591692Agent - Health1/14/20106/15/2018
ActiveCompBenefits Insurance Company301864Agent - Health12/12/2024 
InactiveCompBenefits Insurance Company301864Agent - Life1/14/20107/2/2013
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/28/2021 
InactiveConnecticut General Life Insurance Company301333Agent - Health4/1/20096/11/2014
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health3/6/2018 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life3/4/2021 
ActiveCoventry Health and Life Insurance Company301771Agent - Health3/20/2009 
InactiveDental Concern Inc. (The)301641Agent - Health6/21/20106/15/2018
InactiveFederal Life Insurance Company300945Agent - Health5/1/20243/24/2025
ActiveFirst Health Life & Health Insurance Company301735Agent - Health3/20/2009 
InactiveGPM Health and Life Insurance Company927255Agent - Health10/8/20209/22/2021
InactiveGPM Health and Life Insurance Company927255Agent - Life10/8/20209/22/2021
InactiveGolden Rule Insurance Company301943Agent - Health11/2/20108/13/2012
InactiveGolden Rule Insurance Company301943Agent - Life11/2/20108/13/2012
InactiveGovernment Personnel Mutual Life Insurance Company301862Agent - Health4/8/20133/22/2016
InactiveGovernment Personnel Mutual Life Insurance Company301862Agent - Life4/8/20133/22/2016
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health12/6/201912/13/2022
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health10/10/20122/23/2018
ActiveHumana Health Plan, Inc.300142Agent - Health3/19/2025 
ActiveHumana Insurance Company301104Agent - Health8/6/2024 
InactiveHumana Insurance Company301104Agent - Life1/14/201012/13/2022
InactiveHumana Insurance Company of Kentucky300826Agent - Health1/14/20106/15/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Life1/14/20106/15/2018
InactiveHumana Medical Plan, Inc.801568Agent - Health10/13/201412/19/2019
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health10/12/20166/15/2018
InactiveKanawha Insurance Company300127Agent - Health1/9/201210/22/2015
InactiveKanawha Insurance Company300127Agent - Life1/9/201210/22/2015
InactiveLoyal Christian Benefit Association300958Agent - Health10/8/20155/15/2019
InactiveMutual of Omaha Insurance Company301012Agent - Health10/8/200812/26/2012
InactiveOmaha Health Insurance Company301296Agent - Health10/30/202012/27/2024
InactiveOmaha Insurance Company751908Agent - Health9/10/20149/22/2016
InactivePacifiCare Life and Health Insurance Company301304Agent - Health4/15/200911/5/2011
InactivePacifiCare Life and Health Insurance Company301304Agent - Life4/15/20097/17/2012
InactiveRevol One Insurance Company300681Agent - Health1/31/200710/5/2007
InactiveRevol One Insurance Company300681Agent - Life1/31/200710/5/2007
InactiveSecurity Life Insurance Company of America300936Agent - Health5/9/201412/31/2016
InactiveSecurity Life Insurance Company of America300936Agent - Life5/9/201412/31/2016
ActiveSilverScript Insurance Company663526Agent - Health2/23/2014 
InactiveUnited States Fire Insurance Company582240Agent - Health8/26/202112/27/2023
InactiveUnited World Life Insurance Company300532Agent - Health11/30/202010/22/2021
InactiveUnited of Omaha Life Insurance Company300156Agent - Health10/8/200812/26/2012
InactiveUnited of Omaha Life Insurance Company300156Agent - Life10/8/200812/26/2012
ActiveUnitedHealthcare Insurance Company300946Agent - Health4/15/2009 
ActiveUnitedHealthcare Insurance Company300946Agent - Life4/15/2009 
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/15/201612/20/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/5/201912/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/15/201812/23/2021
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health8/2/201112/5/2016
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/12/2015 
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health4/15/202112/28/2021
ActiveWellCare Prescription Insurance Inc.654329Agent - Health12/11/2018 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveInsuractive LLC820112Agent - Health2/16/2016 
ActiveInsuractive LLC820112Agent - Life2/16/2016 
InactiveQBE First Enterprises LLC610980Agent - Health5/9/20088/5/2013
InactiveQBE First Enterprises LLC610980Agent - Life10/8/20088/5/2013

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