DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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	Life	2/17/2020		11/30/2026
Active	Non Resident	Agent	Health	2/17/2020		11/30/2026
* 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
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
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	5/24/2021	2/13/2025
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	5/24/2021	2/13/2025
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