DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Chapman, Robert Kimball	DOIID	1165517	NAIC NPN	19879745

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	10/11/2021		5/31/2026
Active	Non Resident	Agent	Health	10/11/2021		5/31/2026
* 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	10/5/2022
Active	Anthem Life Insurance Company	301209	Agent - Health	10/5/2022
Active	Anthem Life Insurance Company	301209	Agent - Life	10/5/2022
Active	CareSource Kentucky Co.	838179	Agent - Health	10/17/2022
Active	Chesapeake Life Insurance Company (The)	301017	Agent - Health	5/20/2022
Active	Chesapeake Life Insurance Company (The)	301017	Agent - Life	5/20/2022
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	10/13/2021	5/13/2022
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	10/13/2021	5/13/2022
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	4/9/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Life	10/13/2021	5/13/2022
Inactive	Ushealth Advisors Llc	713288	Agent - Health	10/13/2021	5/13/2022