DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gappa, Jacob Leroy	DOIID	1074614	NAIC NPN	19423000

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	2/17/2020		11/30/2024
Active	Non Resident	Agent	Life	2/17/2020		11/30/2024
* 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	09/15/2024	11/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	12/27/2023
Active	Anthem Life Insurance Company	301209	Agent - Health	12/27/2023
Active	Anthem Life Insurance Company	301209	Agent - Life	12/27/2023
Active	CareSource Kentucky Co.	838179	Agent - Health	4/13/2021
Active	Chesapeake Life Insurance Company (The)	301017	Agent - Health	5/24/2021
Active	Chesapeake Life Insurance Company (The)	301017	Agent - Life	5/24/2021
Active	Golden Rule Insurance Company	301943	Agent - Health	3/5/2020
Active	Golden Rule Insurance Company	301943	Agent - Life	3/5/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	HealthMarkets Insurance Agency Inc	709727	Agent - Life	12/29/2021
Active	HealthMarkets Insurance Agency Inc	709727	Agent - Health	12/29/2021