DEPARTMENT OF INSURANCE

Affiliations

Name	Chamberlain, Kathryn Ruth	DOIID	855408	NAIC NPN	7299964

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	4/1/2021	4/30/2023
Inactive	Non Resident	Agent	Life	9/11/2017	4/30/2019
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	10/29/2014	4/30/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/29/2014	4/30/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/29/2014	4/30/2017
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/1/2021	1/13/2022
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/24/2021	1/13/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/24/2021	1/13/2022
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	5/9/2018	4/30/2019
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	5/9/2018	4/30/2019
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/24/2021	1/13/2022
Inactive	Continental American Insurance Company	301700	Agent - Health	5/4/2018	4/30/2019
Inactive	Continental American Insurance Company	301700	Agent - Life	5/4/2018	4/30/2019
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	10/29/2014	4/30/2017
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Life	10/29/2014	4/30/2017
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	12/3/2015	4/30/2017
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	12/3/2015	4/30/2017
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	5/10/2018	4/30/2019
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	5/10/2018	4/30/2019
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	12/3/2015	4/30/2017
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	12/3/2015	4/30/2017
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/5/2021	5/13/2021
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	4/5/2021	5/13/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/5/2021	5/13/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	4/5/2021	5/13/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Towers Watson Southeast Inc	399919	Agent - Health	3/15/2016	6/30/2017
Inactive	Willis Towers Watson Southeast Inc	399919	Agent - Life	3/15/2016	6/30/2017