DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Chapman, Martha Orange	DOIID	381078	NAIC NPN	548122

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	2/7/1991	11/12/1996
Inactive	Non Resident	Agent	Life	10/29/2009	11/30/2011
Inactive	Resident	Agent	General Lines	4/2/1991	9/30/1996
Inactive	Resident	Agent	Health Maintenance Organization	3/26/1992	9/17/1996
* 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	Assurance Company of America	300432	Agent - General Lines	8/11/1992	3/31/1996
Inactive	Emphesys Insurance Company	300598	Agent - Health	4/29/1994	11/12/1996
Inactive	Emphesys Insurance Company	300598	Agent - Life	4/29/1994	11/12/1996
Inactive	Encova Life Insurance Company	301818	Agent - Health	6/27/1991	10/1/1996
Inactive	Encova Life Insurance Company	301818	Agent - Life	6/27/1991	10/1/1996
Inactive	Glatfelter Insurance Company	301640	Agent - General Lines	8/11/1992	3/31/1996
Inactive	Great Southern Life Insurance Company	301443	Agent - Health	9/8/1992	10/7/1996
Inactive	Great Southern Life Insurance Company	301443	Agent - Life	9/8/1992	10/7/1996
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	3/26/1992	9/17/1996
Inactive	MICO Insurance Company	301664	Agent - General Lines	6/27/1991	9/30/1996
Inactive	Maryland Casualty Company	301719	Agent - General Lines	8/11/1992	3/31/1996
Inactive	Motorists Mutual Insurance Company	300963	Agent - General Lines	6/27/1991	9/30/1996
Inactive	Northern Insurance Company of New York	301317	Agent - General Lines	8/11/1992	3/31/1996
Inactive	Western Surety Company	300283	Agent - General Lines	4/2/1991	9/16/1996
Inactive	Wilco Life Insurance Company	300122	Agent - Health	2/7/1991	11/6/1996
Inactive	Wilco Life Insurance Company	300122	Agent - Life	2/7/1991	11/6/1996

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia of Louisville Inc.	401252	Agent - Life	9/30/1996	11/12/1996
Inactive	Acordia of Louisville Inc.	401252	Agent - Health	9/30/1996	11/12/1996
Inactive	Acordia of Louisville Inc.	401252	Agent - General Lines	7/1/1993	9/30/1996