DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Chapman, Jerry Wayne	DOIID	377893	NAIC NPN	7203639

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Life
Denied	Resident	Agent	Health
Inactive	Resident	Agent	Debtors Life	8/18/1999	8/7/2000
Inactive	Resident	Agent	Credit Life & Health	5/4/1994	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	6/30/2017
Inactive	Resident	Agent	Mortgage Redemption	3/23/1994	8/7/2000
* 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	American Bankers Life Assurance Company of Florida	300171	Agent - Limited Line Credit	8/7/2000	4/12/2007
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Mortgage Redemption	11/12/1996	8/7/2000
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Limited Line Credit	8/7/2000	10/27/2004
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Mortgage Redemption	4/24/1996	8/7/2000
Inactive	Franklin Life Insurance Company (The)	300779	Agent - Credit Life & Health	5/4/1994	4/8/1996
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	7/9/1996	8/7/2000
Denied	Investors Heritage Life Insurance Company	300363	Agent - Health
Denied	Investors Heritage Life Insurance Company	300363	Agent - Life
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	8/7/2000	3/7/2016
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Mortgage Redemption	7/9/1996	8/7/2000
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Credit Life & Health	11/24/1998	8/7/2000
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	8/7/2000	2/1/2017
Inactive	National Guardian Life Insurance Company	300596	Agent - Credit Life & Health	6/14/1994	12/1/1998
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	9/9/1998	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Debtors Life	8/18/1999	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	8/7/2000	6/30/2017
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Limited Line Credit	8/7/2000	6/30/2017
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Mortgage Redemption	3/23/1994	8/7/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Morgantown Bank And Trust Co.	400292	Agent - Credit Life & Health	6/27/1994	8/7/2000
Inactive	Morgantown Bank And Trust Co.	400292	Agent - Limited Line Credit	8/7/2000	6/30/2017