DEPARTMENT OF INSURANCE
Affiliations
NameChaffin, Ralph EdwardDOIID355719NAIC NPN1899518
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
DeniedResidentAgentLimited Line Credit   
InactiveResidentAgentLife3/4/20138/3/2020 
InactiveResidentAgentHealth3/4/20138/3/2020 
InactiveResidentAgentCasualty3/4/20138/3/2020 
InactiveResidentAgentProperty3/4/20138/3/2020 
InactiveResidentAgentGeneral Lines10/25/19888/15/2000 
InactiveResidentAgentHealth Maintenance Organization11/4/19973/1/2001 
WithdrawnResidentAgentPersonal Lines   
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAIG Assurance Company300897Agent - Casualty7/31/20035/16/2006
InactiveAIG Assurance Company300897Agent - Property7/31/20035/16/2006
InactiveAll American Life Insurance Company300702Agent - Health10/27/199910/15/2001
InactiveAll American Life Insurance Company300702Agent - Life10/27/199910/15/2001
InactiveAllianz Life Insurance Company of North America301791Agent - Health12/12/19968/14/2003
InactiveAllianz Life Insurance Company of North America301791Agent - Life12/12/19968/14/2003
InactiveAmerican Commerce Insurance Company301665Agent - Casualty12/1/20163/31/2018
InactiveAmerican Commerce Insurance Company301665Agent - Property12/1/20163/31/2018
InactiveAmerican Economy Insurance Company300315Agent - Casualty11/9/20195/19/2020
InactiveAmerican Economy Insurance Company300315Agent - Property11/9/20195/19/2020
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health4/1/20097/21/2010
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life4/1/20097/21/2010
InactiveAmerican Fire and Casualty Company300567Agent - Casualty6/17/20155/19/2020
InactiveAmerican Fire and Casualty Company300567Agent - Property6/17/20155/19/2020
InactiveAmerico Financial Life and Annuity Insurance Company300869Agent - Life8/27/20148/3/2020
InactiveAssurance Company of America300432Agent - General Lines5/25/19943/31/1996
InactiveAuto-Owners Insurance Company301480Agent - Casualty7/31/20177/21/2020
InactiveAuto-Owners Insurance Company301480Agent - Property7/31/20177/21/2020
InactiveAuto-Owners Life Insurance Company301368Agent - Health7/31/201712/9/2019
InactiveAuto-Owners Life Insurance Company301368Agent - Life7/31/201712/9/2019
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty8/15/20008/9/2006
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - General Lines3/1/20008/15/2000
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property8/15/20008/9/2006
InactiveBristol West Insurance Company301655Agent - Casualty11/24/20155/19/2020
InactiveBristol West Insurance Company301655Agent - Property11/24/20155/19/2020
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty8/15/20008/9/2006
InactiveCharter Oak Fire Insurance Company (The)301501Agent - General Lines3/24/19978/15/2000
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Property8/15/20008/9/2006
InactiveCigna National Health Insurance Company300235Agent - Health5/12/19873/6/2001
InactiveCigna National Health Insurance Company300235Agent - Life5/12/19873/6/2001
InactiveConseco Insurance Company301202Agent - Health7/2/200412/29/2006
InactiveConseco Insurance Company301202Agent - Life7/2/200412/29/2006
InactiveConseco Medical Insurance Company300719Agent - Health1/23/199712/15/1998
InactiveConseco Medical Insurance Company300719Agent - Life1/23/199712/15/1998
InactiveConsolidated Insurance Company300943Agent - Casualty6/17/20155/19/2020
InactiveConsolidated Insurance Company300943Agent - Property6/17/20155/19/2020
InactiveCotton States Life Insurance Company300268Agent - Life3/27/20014/5/2001
InactiveCotton States Mutual Insurance Company300269Agent - Casualty3/27/20014/5/2001
InactiveCotton States Mutual Insurance Company300269Agent - Property3/27/20014/5/2001
InactiveDairyland Insurance Company301370Agent - Casualty9/28/20155/28/2020
InactiveDairyland Insurance Company301370Agent - Property9/28/20155/28/2020
InactiveErie Family Life Insurance Company301400Agent - Life5/7/20155/14/2020
InactiveErie Insurance Company300230Agent - Casualty5/7/20155/14/2020
InactiveErie Insurance Company300230Agent - Property5/7/20155/14/2020
InactiveErie Insurance Company of New York789916Agent - Casualty9/24/20155/14/2020
InactiveErie Insurance Company of New York789916Agent - Property9/24/20155/14/2020
InactiveErie Insurance Exchange300789Agent - Casualty5/7/20155/14/2020
InactiveErie Insurance Exchange300789Agent - Property5/7/20155/14/2020
InactiveErie Insurance Property & Casualty Company789942Agent - Casualty9/24/20155/14/2020
InactiveErie Insurance Property & Casualty Company789942Agent - Property9/24/20155/14/2020
InactiveFarmers Insurance Exchange300336Agent - Casualty7/21/20047/30/2012
InactiveFarmers Insurance Exchange300336Agent - Property7/21/20047/30/2012
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Life8/4/20006/21/2004
InactiveFirst Colony Life Insurance Company301179Agent - Health10/24/20007/19/2004
InactiveFirst Colony Life Insurance Company301179Agent - Life10/24/20007/19/2004
InactiveFlagship City Insurance Company789965Agent - Casualty9/24/20155/14/2020
InactiveFlagship City Insurance Company789965Agent - Property9/24/20155/14/2020
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty6/15/20155/19/2020
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property6/15/20155/19/2020
InactiveGeneral Casualty Company of Wisconsin300930Agent - Casualty8/15/20004/30/2008
InactiveGeneral Casualty Company of Wisconsin300930Agent - General Lines8/9/19938/15/2000
InactiveGeneral Casualty Company of Wisconsin300930Agent - Property8/15/20004/30/2008
InactiveGenerali - U.S. Branch301128Agent - General Lines7/23/19919/15/1997
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health3/20/20087/30/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life3/20/20087/30/2012
InactiveGerber Life Insurance Company300529Agent - Health2/9/20158/3/2020
InactiveGerber Life Insurance Company300529Agent - Life2/9/20158/3/2020
InactiveGlatfelter Insurance Company301640Agent - General Lines5/25/19943/31/1996
InactiveGolden Rule Insurance Company301943Agent - Health6/22/20097/30/2012
InactiveGolden Rule Insurance Company301943Agent - Life6/22/20097/30/2012
InactiveGrange Indemnity Insurance Company300793Agent - Casualty5/11/20157/21/2020
InactiveGrange Indemnity Insurance Company300793Agent - Property5/11/20157/21/2020
InactiveGrange Insurance Company300234Agent - Casualty5/11/20157/21/2020
InactiveGrange Insurance Company300234Agent - Property5/11/20157/21/2020
InactiveGrange Life Insurance Company300128Agent - Health11/12/20157/21/2020
InactiveGrange Life Insurance Company300128Agent - Life11/12/20157/21/2020
InactiveGrange Property & Casualty Insurance Company601680Agent - Casualty5/11/20157/21/2020
InactiveGrange Property & Casualty Insurance Company601680Agent - Property5/11/20157/21/2020
InactiveGranite State Insurance Company300818Agent - Casualty7/31/20035/16/2006
InactiveGranite State Insurance Company300818Agent - Property7/31/20035/16/2006
InactiveHumana Health Plan, Inc.300142Agent - Health3/1/200111/20/2009
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization11/4/19973/1/2001
InactiveHumana Insurance Company301104Agent - Health10/2/199711/20/2009
InactiveHumana Insurance Company301104Agent - Life10/2/199711/20/2009
InactiveIllinois National Insurance Company301367Agent - Casualty7/31/20035/16/2006
InactiveIllinois National Insurance Company301367Agent - General Lines5/7/19918/15/2000
InactiveIllinois National Insurance Company301367Agent - Property7/31/20035/16/2006
InactiveIndiana Insurance Company301909Agent - Casualty6/17/20155/19/2020
InactiveIndiana Insurance Company301909Agent - Property6/17/20155/19/2020
InactiveInfinity Casualty Insurance Company301280Agent - General Lines5/3/19907/28/2000
InactiveInfinity Insurance Company300416Agent - Casualty8/15/20003/31/2002
InactiveInfinity Insurance Company300416Agent - General Lines3/29/19948/15/2000
InactiveInfinity Standard Insurance Company301643Agent - Casualty8/15/20002/18/2002
InactiveInfinity Standard Insurance Company301643Agent - General Lines8/1/19958/15/2000
InactiveInfinity Standard Insurance Company301643Agent - Property8/15/20002/18/2002
InactiveIntegon National Insurance Company301600Agent - Casualty8/15/200012/2/2002
InactiveIntegon National Insurance Company301600Agent - General Lines3/30/19988/15/2000
InactiveIntegon National Insurance Company301600Agent - Property8/15/200012/2/2002
InactiveInvestors Heritage Life Insurance Company300363Agent - Life12/7/20017/30/2012
DeniedInvestors Heritage Life Insurance Company300363Agent - Limited Line Credit  
InactiveJackson National Life Insurance Company300486Agent - Health12/12/19975/19/1999
InactiveJackson National Life Insurance Company300486Agent - Life12/12/19975/19/1999
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health9/18/200310/1/2004
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life9/18/200310/1/2004
InactiveJefferson-Pilot Life Insurance Company300379Agent - Health9/18/200310/1/2004
InactiveJefferson-Pilot Life Insurance Company300379Agent - Life9/18/200310/1/2004
InactiveJohn Alden Life Insurance Company300573Agent - Health11/16/200011/14/2006
InactiveJohn Alden Life Insurance Company300573Agent - Life11/16/200011/14/2006
InactiveKanawha Insurance Company300127Agent - Health4/10/200811/20/2009
InactiveKanawha Insurance Company300127Agent - Life4/10/200811/20/2009
InactiveKentucky Home Life Insurance Company300477Agent - Health12/1/199812/30/2004
InactiveKentucky Home Life Insurance Company300477Agent - Life12/1/199812/30/2004
InactiveKentucky National Insurance Company301625Agent - General Lines11/1/19903/5/1997
InactiveLifeUSA Insurance Company300386Agent - Health12/12/19968/2/2002
InactiveLifeUSA Insurance Company300386Agent - Life12/12/19968/2/2002
InactiveLincoln National Life Insurance Company (The)301382Agent - Health10/15/200710/18/2011
InactiveLincoln National Life Insurance Company (The)301382Agent - Life10/15/200710/18/2011
InactiveMaryland Casualty Company301719Agent - General Lines5/25/19943/31/1996
InactiveMetLife Investors USA Insurance Company300845Agent - Life2/23/20107/30/2012
InactiveMutual Service Life Insurance Company300225Agent - Health12/16/198711/2/2007
InactiveMutual Service Life Insurance Company300225Agent - Life12/16/198711/2/2007
InactiveMutual of Omaha Insurance Company301012Agent - Health9/16/200912/15/2011
InactiveNational Guardian Life Insurance Company300596Agent - Health2/13/19973/31/1999
InactiveNational Guardian Life Insurance Company300596Agent - Life2/13/19973/31/1999
InactiveNational Insurance Association301386Agent - General Lines6/12/19923/31/1996
InactiveNetherlands Insurance Company (The)300339Agent - Casualty6/17/20155/19/2020
InactiveNetherlands Insurance Company (The)300339Agent - Property6/17/20155/19/2020
InactiveNorth American Company for Life and Health Insurance300291Agent - Life9/9/20141/5/2017
InactiveNorthern Insurance Company of New York301317Agent - Casualty7/21/20047/30/2012
InactiveNorthern Insurance Company of New York301317Agent - General Lines5/25/19943/31/1996
InactiveNorthern Insurance Company of New York301317Agent - Property7/21/20047/30/2012
InactiveOhio Casualty Insurance Company301492Agent - Casualty6/17/20155/19/2020
InactiveOhio Casualty Insurance Company301492Agent - Property6/17/20155/19/2020
InactiveOhio Security Insurance Company300622Agent - Casualty6/17/20155/19/2020
InactiveOhio Security Insurance Company300622Agent - Property6/17/20155/19/2020
InactiveOhio State Life Insurance Company (The)300865Agent - Health6/14/199612/20/2002
InactiveOhio State Life Insurance Company (The)300865Agent - Life6/14/199612/20/2002
InactiveOmni Indemnity Company301456Agent - Casualty8/28/20008/3/2007
InactiveOmni Indemnity Company301456Agent - Property8/28/20008/3/2007
InactiveOmni Insurance Company301545Agent - General Lines3/7/19913/31/2000
InactiveOwners Insurance Company300796Agent - Casualty7/31/20177/21/2020
InactiveOwners Insurance Company300796Agent - Property7/31/20177/21/2020
InactivePAFCO General Insurance Company301645Agent - Casualty8/15/20003/31/2004
InactivePAFCO General Insurance Company301645Agent - General Lines10/25/19888/15/2000
InactivePAFCO General Insurance Company301645Agent - Property8/15/20003/31/2004
InactivePeerless Indemnity Insurance Company571682Agent - Casualty6/17/20155/19/2020
InactivePeerless Indemnity Insurance Company571682Agent - Property6/17/20155/19/2020
InactivePeerless Insurance Company301910Agent - Casualty6/17/20155/19/2020
InactivePeerless Insurance Company301910Agent - Property6/17/20155/19/2020
InactivePioneer Life Insurance Company300110Agent - Health2/27/199510/23/2002
InactivePioneer Life Insurance Company300110Agent - Life2/27/199510/23/2002
InactivePrincipal Life Insurance Company300129Agent - Health1/23/19913/31/1997
InactivePrincipal Life Insurance Company300129Agent - Life1/23/19913/31/1997
InactiveProtective Life Insurance Company300638Agent - Life4/23/201311/23/2015
InactivePruco Life Insurance Company300954Agent - Health11/29/200712/20/2007
InactivePruco Life Insurance Company300954Agent - Life11/29/200712/20/2007
InactiveRegent Insurance Company300411Agent - Casualty8/15/20004/30/2008
InactiveRegent Insurance Company300411Agent - General Lines8/9/19938/15/2000
InactiveRegent Insurance Company300411Agent - Property8/15/20004/30/2008
InactiveReliaStar Life Insurance Company301712Agent - Health10/1/20036/14/2005
InactiveReliaStar Life Insurance Company301712Agent - Life10/1/20036/14/2005
InactiveReserve National Insurance Company301073Agent - Health4/15/20136/4/2014
InactiveReserve National Insurance Company301073Agent - Life4/15/20136/4/2014
InactiveSAFECO Insurance Company of America300159Agent - Casualty6/17/20155/19/2020
InactiveSAFECO Insurance Company of America300159Agent - Property6/17/20155/19/2020
InactiveSAFECO Insurance Company of Illinois301350Agent - Casualty6/17/20155/19/2020
InactiveSAFECO Insurance Company of Illinois301350Agent - Property6/17/20155/19/2020
InactiveSILAC Insurance Company300535Agent - Life4/3/201312/21/2015
InactiveSecurity Life and Trust Insurance Company301698Agent - Health1/28/19945/24/1996
InactiveSecurity Life and Trust Insurance Company301698Agent - Life1/28/19945/24/1996
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Health8/14/200010/1/2003
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Life8/14/200010/1/2003
InactiveShield Insurance Company300992Agent - Casualty3/27/20014/5/2001
InactiveShield Insurance Company300992Agent - Property3/27/20014/5/2001
InactiveStandard Fire Insurance Company (The)301068Agent - Casualty8/15/20008/9/2006
InactiveStandard Fire Insurance Company (The)301068Agent - General Lines3/1/20008/15/2000
InactiveStandard Fire Insurance Company (The)301068Agent - Property8/15/20008/9/2006
InactiveStandard Security Life Insurance Company of NY301487Agent - Health8/26/20097/30/2012
InactiveStandard Security Life Insurance Company of NY301487Agent - Life8/26/20097/30/2012
InactiveSterling Life Insurance Company301947Agent - Health5/5/20086/12/2008
InactiveSterling Life Insurance Company301947Agent - Life5/5/20086/12/2008
InactiveSymetra Life Insurance Company301691Agent - Health9/19/200711/8/2011
InactiveSymetra Life Insurance Company301691Agent - Life9/19/200711/8/2011
InactiveThe Phoenix Insurance Company301502Agent - Casualty8/15/20008/9/2006
InactiveThe Phoenix Insurance Company301502Agent - General Lines3/24/19978/15/2000
InactiveThe Phoenix Insurance Company301502Agent - Property8/15/20008/9/2006
InactiveTime Insurance Company300683Agent - Health6/19/200912/14/2010
InactiveTime Insurance Company300683Agent - Life6/19/200912/14/2010
InactiveTransamerica Life Insurance Company300571Agent - Health4/12/20133/23/2016
InactiveTransamerica Life Insurance Company300571Agent - Life4/12/20133/23/2016
InactiveTransamerica Premier Life Insurance Company300558Agent - Health6/26/20133/23/2016
InactiveTransamerica Premier Life Insurance Company300558Agent - Life6/26/20133/23/2016
InactiveTravCo Insurance Company301828Agent - Casualty8/15/20008/9/2006
InactiveTravCo Insurance Company301828Agent - General Lines3/24/19978/15/2000
InactiveTravCo Insurance Company301828Agent - Property8/15/20008/9/2006
DeniedTravelers Casualty Company of Connecticut301505Agent - Casualty  
DeniedTravelers Casualty Company of Connecticut301505Agent - Property  
InactiveTravelers Casualty and Surety Company301067Agent - Casualty5/5/20048/9/2006
InactiveTravelers Casualty and Surety Company301067Agent - Property5/5/20048/9/2006
InactiveTravelers Indemnity Company (The)301855Agent - Casualty8/15/20008/9/2006
InactiveTravelers Indemnity Company (The)301855Agent - General Lines3/24/19978/15/2000
InactiveTravelers Indemnity Company (The)301855Agent - Property8/15/20008/9/2006
InactiveTravelers Indemnity Company of America (The)301093Agent - Casualty5/5/20048/9/2006
InactiveTravelers Indemnity Company of America (The)301093Agent - Property5/5/20048/9/2006
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Casualty5/5/20048/9/2006
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Property5/5/20048/9/2006
InactiveTravelers Property Casualty Company of America301649Agent - Casualty5/5/20048/9/2006
InactiveTravelers Property Casualty Company of America301649Agent - Property5/5/20048/9/2006
DeniedTravelers Property Casualty Insurance Company301508Agent - Casualty  
DeniedTravelers Property Casualty Insurance Company301508Agent - Property  
InactiveTrumbull Insurance Company300242Agent - Casualty8/15/20007/30/2012
InactiveTrumbull Insurance Company300242Agent - General Lines7/3/19988/15/2000
InactiveTrumbull Insurance Company300242Agent - Property8/15/20007/30/2012
InactiveTrustgard Insurance Company300104Agent - Casualty5/11/20157/21/2020
InactiveTrustgard Insurance Company300104Agent - Property5/11/20157/21/2020
InactiveUnited American Insurance Company300910Agent - Health5/26/20088/5/2008
InactiveUnited American Insurance Company300910Agent - Life5/26/20088/5/2008
InactiveUnited of Omaha Life Insurance Company300156Agent - Health9/16/200912/15/2011
InactiveUnited of Omaha Life Insurance Company300156Agent - Life9/16/200912/15/2011
InactiveUnitedHealthcare Insurance Company300946Agent - Health6/9/20097/30/2012
InactiveUnitedHealthcare Insurance Company300946Agent - Life6/9/20097/30/2012
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health12/2/19933/31/1997
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life12/2/19933/31/1997
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health6/9/20097/30/2012
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health6/9/20097/30/2012
InactiveUtica Mutual Insurance Company301933Agent - Casualty6/6/20165/15/2020
InactiveUtica Mutual Insurance Company301933Agent - Property6/6/20165/15/2020
InactiveVesta Fire Insurance Corporation300828Agent - General Lines7/28/19923/31/1998
InactiveVictoria Fire & Casualty Company300313Agent - Casualty10/12/20159/14/2017
InactiveVictoria Fire & Casualty Company300313Agent - Property10/12/20159/14/2017
InactiveWashington National Insurance Company300587Agent - Health3/27/19923/31/1997
InactiveWashington National Insurance Company300587Agent - Life3/27/19923/31/1997
InactiveWest American Insurance Company301112Agent - Casualty6/17/20155/19/2020
InactiveWest American Insurance Company301112Agent - Property6/17/20155/19/2020
InactiveWest Bend Insurance Company672974Agent - Casualty9/22/20178/3/2020
InactiveWest Bend Insurance Company672974Agent - Property9/22/20178/3/2020
InactiveWilco Life Insurance Company300122Agent - Life12/18/20002/22/2005
InactiveXL Insurance America, Inc.300182Agent - Casualty8/15/20001/10/2011
InactiveXL Insurance America, Inc.300182Agent - General Lines2/9/19988/15/2000
InactiveXL Insurance America, Inc.300182Agent - Property8/15/20001/10/2011
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCBISA Reaquisitian Corp547026Agent - Life12/29/20037/30/2012
InactiveCBISA Reaquisitian Corp547026Agent - Health12/29/20037/30/2012
InactiveChaffin Insurance Inc.400783Agent - General Lines7/2/19978/15/2000
InactiveChaffin Insurance Inc.400783Agent - Casualty8/4/20003/31/2007
InactiveChaffin Insurance Inc.400783Agent - Property8/15/20003/31/2007
InactiveDesignated Agent Company Inc.681257Agent - Life12/17/20138/3/2020
InactiveDesignated Agent Company Inc.681257Agent - Health12/17/20138/3/2020
InactiveIns Services Of The Tri State627617Agent - Life9/21/20077/30/2012
InactiveIns Services Of The Tri State627617Agent - Casualty9/21/20077/30/2012
InactiveIns Services Of The Tri State627617Agent - Property9/21/20077/30/2012
InactiveMitchell Ins Agcy Inc852048Agent - Life5/8/20158/3/2020
InactiveMitchell Ins Agcy Inc852048Agent - Health5/8/20158/3/2020
InactiveMitchell Ins Agcy Inc852048Agent - Casualty5/8/20158/3/2020
InactiveMitchell Ins Agcy Inc852048Agent - Property5/8/20158/3/2020
InactiveSouthern Insurance Agency Inc.399240Agent - General Lines8/3/19937/2/1997

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