DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Chapman, Gary Philip	DOIID	357415	NAIC NPN	7194760

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Life & Health	2/8/1994	8/7/2000
Inactive	Resident	Agent	Mortgage Redemption	9/8/1999	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	10/24/2011	2/28/2019
* 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
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Limited Line Credit	6/30/2006	1/12/2009
Inactive	Banc One Kentucky Insurance Company	300824	Agent - Credit Life & Health	2/8/1994	8/25/1998
Inactive	Citizens Security Life Insurance Company	301257	Agent - Limited Line Credit	10/19/2001	8/16/2004
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	10/24/2011	5/2/2018
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Credit Life & Health	12/16/1998	8/7/2000
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	8/7/2000	1/12/2009
Inactive	Liberty Life Insurance Company	301542	Agent - Limited Line Credit	8/7/2000	6/30/2006
Inactive	Liberty Life Insurance Company	301542	Agent - Mortgage Redemption	9/8/1999	8/7/2000
Inactive	National Guardian Life Insurance Company	300596	Agent - Credit Life & Health	11/6/1998	3/31/1999

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cecilian Bank	398349	Agent - Limited Line Credit	11/17/2011	4/9/2018
Inactive	First Federal Savings Bank of Elizabethtown	600160	Agent - Limited Line Credit	12/28/2004	1/12/2009
Inactive	First Service Corporation of Elizabethtown	398442	Agent - Limited Line Credit	8/11/2003	1/19/2005