DEPARTMENT OF INSURANCE

Affiliations

Name	Chapman, Tyler	DOIID	846595	NAIC NPN	17331106

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	1/16/2019	8/1/2023
Inactive	Resident	Agent	Casualty	1/15/2019	8/1/2023
Inactive	Resident	Agent	Health	3/4/2015	8/1/2023
Inactive	Resident	Agent	Life	8/1/2014	8/1/2023
* 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	Accendo Insurance Company	300312	Agent - Life	6/10/2020	8/1/2023
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	7/16/2019	12/15/2020
Inactive	American Continental Insurance Company	643130	Agent - Life	7/16/2019	12/6/2021
Inactive	American Retirement Life Insurance Company	706303	Agent - Health	9/28/2015	9/25/2018
Inactive	American Retirement Life Insurance Company	706303	Agent - Life	9/26/2014	9/25/2018
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Health	6/13/2016	8/29/2017
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	6/8/2016	8/29/2017
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/22/2015	11/3/2016
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	4/22/2020	8/1/2023
Inactive	Athene Annuity and Life Company	301893	Agent - Life	9/25/2017	1/6/2018
Inactive	Augustar Life Assurance Corporation	301113	Agent - Health	1/8/2018	10/24/2018
Inactive	Augustar Life Assurance Corporation	301113	Agent - Life	3/28/2019	3/30/2020
Inactive	Augustar Life Insurance Company	301816	Agent - Health	4/2/2019	3/30/2020
Inactive	Augustar Life Insurance Company	301816	Agent - Life	4/2/2019	3/30/2020
Inactive	Bankers Fidelity Assurance Company	554627	Agent - Health	12/3/2020	8/1/2023
Inactive	Bankers Fidelity Assurance Company	554627	Agent - Life	12/3/2020	8/1/2023
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	12/3/2020	8/1/2023
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	12/3/2020	8/1/2023
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	10/7/2016	4/1/2019
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	4/7/2017	9/25/2018
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	4/7/2017	9/25/2018
Inactive	Combined Insurance Company of America	301472	Agent - Health	8/18/2015	12/10/2018
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/16/2019	12/15/2020
Inactive	Everly Life Insurance Company	561641	Agent - Life	9/22/2014	1/5/2016
Inactive	Family Heritage Life Insurance Company of America	301037	Agent - Health	10/30/2017	12/10/2018
Inactive	Family Heritage Life Insurance Company of America	301037	Agent - Life	10/30/2017	12/10/2018
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	8/31/2016	1/3/2017
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	8/31/2016	1/3/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	4/22/2020	12/15/2020
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	4/22/2020	12/15/2020
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/26/2015	4/10/2017
Inactive	Humana Insurance Company	301104	Agent - Health	4/22/2020	8/1/2023
Inactive	Humana Insurance Company	301104	Agent - Life	11/26/2015	4/10/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/26/2015	4/10/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/26/2015	4/10/2017
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	4/22/2020	12/15/2020
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	4/22/2020	12/15/2020
Inactive	Individual Assurance Company Life Health & Accident	300580	Agent - Health	4/26/2017	9/21/2018
Inactive	Individual Assurance Company Life Health & Accident	300580	Agent - Life	11/23/2015	12/28/2016
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Health	12/17/2021	2/13/2023
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Life	12/17/2021	2/13/2023
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	9/29/2014	9/25/2018
Inactive	Medico Corp Life Insurance Company	301777	Agent - Life	9/15/2014	7/27/2016
Inactive	Medico Insurance Company	301559	Agent - Life	9/15/2014	7/27/2016
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	3/7/2016	1/23/2017
Inactive	Occidental Life Insurance Company of North Carolina	301185	Agent - Life	3/23/2021	8/1/2023
Inactive	Omaha Insurance Company	751908	Agent - Health	5/18/2017	9/13/2017
Inactive	Primerica Life Insurance Company	300970	Agent - Life	8/5/2014	9/16/2014
Inactive	Reserve National Insurance Company	301073	Agent - Life	9/24/2014	12/10/2015
Inactive	SILAC Insurance Company	300535	Agent - Life	2/3/2015	8/23/2017
Inactive	Senior Life Insurance Company	558267	Agent - Life	12/9/2022	8/1/2023
Inactive	Sentinel Security Life Insurance Company	935789	Agent - Health	7/27/2018	12/10/2018
Inactive	Sentinel Security Life Insurance Company	935789	Agent - Life	7/27/2018	12/10/2018
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	1/22/2019	4/15/2019
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	1/22/2019	4/15/2019
Inactive	State Farm Life Insurance Company	301810	Agent - Life	12/11/2018	4/15/2019
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	1/22/2019	4/15/2019
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	12/11/2018	4/15/2019
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	12/26/2017	11/5/2018
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	12/26/2017	11/5/2018
Inactive	United Home Life Insurance Company	300421	Agent - Life	9/8/2016	8/15/2017
Inactive	United National Life Insurance Company	844837	Agent - Health	5/20/2019	8/1/2023
Inactive	United National Life Insurance Company	844837	Agent - Life	5/20/2019	8/1/2023
Inactive	United World Life Insurance Company	300532	Agent - Health	7/2/2019	7/1/2020
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	6/28/2019	7/1/2020
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	6/28/2019	7/1/2020
Inactive	Washington National Insurance Company	300587	Agent - Health	3/20/2019	5/21/2021
Inactive	Washington National Insurance Company	300587	Agent - Life	3/20/2019	5/21/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Onceago Residuals LLC	1144295	Agent - Life	2/8/2022	2/10/2022
Inactive	Onceago Residuals LLC	1144295	Agent - Health	2/8/2022	2/10/2022
Inactive	Onceago Residuals LLC	1144295	Agent - Casualty		2/10/2022
Inactive	Onceago Residuals LLC	1144295	Agent - Property		2/10/2022