DEPARTMENT OF INSURANCE
Affiliations
NameGold Chip Insurance Marketing LLCDOIID502132NAIC NPN7223053
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentProperty4/23/2008 3/31/2026
ActiveResidentAgentHealth5/11/2000 3/31/2026
ActiveResidentAgentCasualty4/23/2008 3/31/2026
ActiveResidentAgentLife5/11/2000 3/31/2026
InactiveResidentAgentHealth Maintenance Organization2/4/20003/1/2001 
* 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
ActiveACE American Insurance Company300625Agent - Casualty7/6/2020 
ActiveACE American Insurance Company300625Agent - Property7/6/2020 
ActiveACE Fire Underwriters Insurance Company301679Agent - Casualty7/6/2020 
ActiveACE Fire Underwriters Insurance Company301679Agent - Property7/6/2020 
ActiveACE Property and Casualty Insurance Company300520Agent - Casualty7/6/2020 
ActiveACE Property and Casualty Insurance Company300520Agent - Property7/6/2020 
InactiveAetna Health Inc.300694Agent - Health7/26/200112/31/2007
InactiveAetna Health Inc. (PA)660717Agent - Health12/31/20079/22/2010
InactiveAetna Life Insurance Company301140Agent - Health7/26/20019/22/2010
InactiveAetna Life Insurance Company301140Agent - Life7/26/20019/22/2010
InactiveAmerican Alternative Insurance Corporation301697Agent - Casualty3/31/20142/18/2021
InactiveAmerican Alternative Insurance Corporation301697Agent - Property3/31/20142/18/2021
InactiveAmerican Economy Insurance Company300315Agent - Casualty3/10/20215/17/2023
InactiveAmerican Economy Insurance Company300315Agent - Property3/10/20215/17/2023
InactiveAmerican Modern Home Insurance Company300791Agent - Casualty8/8/201912/13/2023
InactiveAmerican Modern Home Insurance Company300791Agent - Property8/8/201912/13/2023
ActiveBankers Standard Insurance Company301620Agent - Casualty7/6/2020 
ActiveBankers Standard Insurance Company301620Agent - Property7/6/2020 
InactiveBaptist Health Plan, Inc.300157Agent - Health11/7/20033/31/2019
InactiveBaptist Health Plan, Inc.300157Agent - Health Maintenance Organization2/4/20003/1/2001
ActiveBrotherhood Mutual Insurance Company300940Agent - Casualty5/1/2008 
ActiveBrotherhood Mutual Insurance Company300940Agent - Health4/25/2008 
ActiveBrotherhood Mutual Insurance Company300940Agent - Property5/1/2008 
InactiveC.M. Life Insurance Company301335Agent - Health9/28/200012/18/2000
InactiveCHA HMO, Inc.300662Agent - Health11/21/200312/10/2012
ActiveChubb Indemnity Insurance Company300438Agent - Casualty7/6/2020 
ActiveChubb Indemnity Insurance Company300438Agent - Property7/6/2020 
ActiveChubb National Insurance Company301392Agent - Casualty7/6/2020 
ActiveChubb National Insurance Company301392Agent - Property7/6/2020 
InactiveChurch Mutual Insurance Company, S.I.301554Agent - Casualty3/26/20191/24/2022
InactiveChurch Mutual Insurance Company, S.I.301554Agent - Property3/26/20191/24/2022
InactiveClearPath Insurance Company979815Agent - Casualty1/1/20181/8/2025
InactiveCompBenefits Dental, Inc.591692Agent - Health6/20/20087/14/2014
InactiveCompBenefits Insurance Company301864Agent - Health6/20/20087/2/2013
InactiveCompBenefits Insurance Company301864Agent - Life6/20/20087/2/2013
InactiveDental Concern Inc. (The)301641Agent - Health2/26/20077/14/2014
ActiveExecutive Risk Indemnity Inc.301510Agent - Casualty7/6/2020 
ActiveFederal Insurance Company301144Agent - Casualty7/6/2020 
ActiveFederal Insurance Company301144Agent - Health7/6/2020 
ActiveFederal Insurance Company301144Agent - Property7/6/2020 
ActiveGreat Northern Insurance Company301107Agent - Casualty7/6/2020 
ActiveGreat Northern Insurance Company301107Agent - Property7/6/2020 
ActiveGuideOne Elite Insurance Company300490Agent - Casualty1/22/2019 
ActiveGuideOne Elite Insurance Company300490Agent - Property1/22/2019 
ActiveGuideOne Insurance Company301794Agent - Casualty1/22/2019 
ActiveGuideOne Insurance Company301794Agent - Property1/22/2019 
ActiveGuideOne Specialty Insurance Company300278Agent - Casualty1/22/2019 
ActiveGuideOne Specialty Insurance Company300278Agent - Property1/22/2019 
InactiveHumana Health Plan, Inc.300142Agent - Health11/10/20037/14/2014
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization4/10/20003/1/2001
InactiveHumana Insurance Company301104Agent - Health11/10/20037/14/2014
InactiveHumana Insurance Company301104Agent - Life11/11/20037/14/2014
InactiveHumana Insurance Company of Kentucky300826Agent - Health1/29/20047/14/2014
InactiveHumana Insurance Company of Kentucky300826Agent - Life1/29/20047/14/2014
InactiveHumanaDental Insurance Company301457Agent - Health6/20/20085/13/2013
InactiveHumanaDental Insurance Company301457Agent - Life6/20/20085/13/2013
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health8/6/20047/2/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life8/6/20047/2/2007
InactiveKanawha Insurance Company300127Agent - Health6/20/20084/25/2013
InactiveKanawha Insurance Company300127Agent - Life6/20/20084/25/2013
ActiveLincoln National Life Insurance Company (The)301382Agent - Health6/29/2007 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life6/29/2007 
InactiveMML Bay State Life Insurance Company301198Agent - Health5/11/20005/15/2006
InactiveMML Bay State Life Insurance Company301198Agent - Life5/11/20005/15/2006
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Health9/28/200012/18/2000
ActivePacific Employers Insurance Company301753Agent - Casualty7/6/2020 
ActivePacific Employers Insurance Company301753Agent - Property7/6/2020 
ActivePacific Indemnity Company301610Agent - Casualty7/6/2020 
ActivePacific Indemnity Company301610Agent - Property7/6/2020 
InactiveSAFECO Insurance Company of America300159Agent - Casualty3/10/20215/17/2023
InactiveSAFECO Insurance Company of America300159Agent - Property3/10/20215/17/2023
InactiveSAFECO Insurance Company of Illinois301350Agent - Casualty3/10/20215/17/2023
InactiveSAFECO Insurance Company of Illinois301350Agent - Property3/10/20215/17/2023
InactiveUnitedHealthcare Insurance Company300946Agent - Health8/3/20214/4/2022
InactiveUnitedHealthcare Insurance Company300946Agent - Life5/3/200411/30/2016
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/3/20214/4/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health8/3/202112/23/2021
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health Maintenance Organization3/1/20003/1/2001
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health5/3/200411/30/2016
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health8/3/20214/4/2022
ActiveVigilant Insurance Company301143Agent - Casualty7/6/2020 
ActiveVigilant Insurance Company301143Agent - Property7/6/2020 
ActiveWestchester Fire Insurance Company300990Agent - Casualty7/6/2020 
ActiveWestchester Fire Insurance Company300990Agent - Property7/6/2020 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAbell, Rita A 334710Agent - Health Maintenance Organization2/17/20004/7/2000
ActiveCobb, Tim W 349496Agent - Casualty4/23/2008 
ActiveCobb, Tim W 349496Agent - Health5/11/2000 
InactiveCobb, Tim W 349496Agent - Health Maintenance Organization2/4/20003/1/2001
ActiveCobb, Tim W 349496Agent - Life5/11/2000 
ActiveCobb, Tim W 349496Agent - Property4/23/2008 
InactiveCoffman, Janice Lee 357248Agent - Health5/10/20001/16/2002
InactiveShewmaker, David Lee 320286Agent - Casualty7/16/200812/14/2017
InactiveShewmaker, David Lee 320286Agent - Property7/16/200812/14/2017

© Commonwealth of Kentucky. All rights reserved.