DEPARTMENT OF INSURANCE
Affiliations
NameChipman, Patricia ADOIID350721NAIC NPN7191777
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentLimited Line Credit8/7/20001/31/2009 
InactiveResidentAgentCredit Life & Health10/17/19948/7/2000 
InactiveResidentAgentVariable Life and Variable Annuities10/9/200111/9/2008 
InactiveResidentAgentHealth10/10/200011/9/2008 
InactiveResidentAgentLife9/27/200011/9/2008 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican United Life Insurance Company300498Agent - Credit Life & Health3/14/19978/3/1999
InactiveEverlake Life Insurance Company300873Agent - Life3/1/200512/12/2006
InactiveEverlake Life Insurance Company300873Agent - Variable Life and Variable Annuities3/1/200512/12/2006
InactiveInvestors Heritage Life Insurance Company300363Agent - Credit Life & Health8/3/19998/7/2000
InactiveInvestors Heritage Life Insurance Company300363Agent - Limited Line Credit8/7/20001/31/2009
InactiveJackson National Life Insurance Company300486Agent - Life12/1/200512/20/2006
InactiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities12/1/200512/20/2006
InactiveNationwide Life Insurance Company300495Agent - Life6/16/200312/16/2004
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities6/16/200312/16/2004
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life6/16/200312/16/2004
InactiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities6/16/200312/16/2004
InactiveParker Centennial Assurance Company300134Agent - Credit Life & Health10/17/19945/23/1996
InactivePrudential Insurance Company of America300784Agent - Credit Life & Health5/23/19963/14/1997
InactiveTalcott Resolution Life Insurance Company301759Agent - Health10/8/20012/10/2007
InactiveTalcott Resolution Life Insurance Company301759Agent - Life10/8/20012/10/2007
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities10/9/20012/10/2007
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health10/8/20012/10/2007
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life10/8/20012/10/2007
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities10/9/20012/10/2007
InactiveVenerable Insurance and Annuity Company301006Agent - Life12/16/200412/28/2006
InactiveVenerable Insurance and Annuity Company301006Agent - Variable Life and Variable Annuities12/16/200412/28/2006
InactiveWestern National Life Insurance Company300461Agent - Life2/2/20011/8/2007
InactiveWestern-Southern Life Assurance Company301590Agent - Health10/10/200012/8/2006
InactiveWestern-Southern Life Assurance Company301590Agent - Life9/27/200012/8/2006
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveFifth Third Bank of Kentucky Inc.399083Agent - Credit Life & Health4/16/19973/31/1999
InactiveFifth Third Insurance Agency Inc399341Agent - Life2/23/20012/27/2007
InactiveFifth Third Insurance Agency Inc399341Agent - Health2/23/20012/27/2007
InactiveFifth Third Insurance Agency Inc399341Agent - Variable Life and Variable Annuities4/2/20042/27/2007

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