DEPARTMENT OF INSURANCE

Affiliations

Name	Chapman, Jason L	DOIID	510038	NAIC NPN	7213818

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	10/29/2013	6/30/2023
Inactive	Resident	Agent	Property	10/29/2013	6/30/2023
Inactive	Resident	Agent	Life	10/29/2013	6/30/2023
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	10/20/2006	10/1/2011
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	10/20/2006	10/1/2011
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	8/4/2009	11/10/2011
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	12/3/2014	6/30/2023
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	12/3/2014	6/30/2023
Inactive	American Investors Life Insurance Company, Inc.	301358	Agent - Life	12/15/2003	8/18/2005
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/7/2013	6/30/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/7/2013	6/30/2023
Inactive	Athene Annuity & Life Assurance Company of New York	300724	Agent - Life	5/31/2001	3/23/2012
Inactive	BaltasVision, LLC	598376	Agent - Health	8/3/2009	6/30/2013
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/25/2008	6/30/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Health	4/25/2008	7/2/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	4/25/2008	7/2/2013
Inactive	Companion Life Insurance Company	300191	Agent - Health	7/30/2015	6/26/2018
Inactive	Companion Life Insurance Company	300191	Agent - Life	7/30/2015	6/26/2018
Inactive	Delaware Life Insurance Company	301256	Agent - Life	12/20/2005	11/26/2007
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	6/30/2013
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	3/6/2007	6/30/2013
Denied	First Colony Life Insurance Company	301179	Agent - Health
Inactive	First Colony Life Insurance Company	301179	Agent - Life	1/7/2006	1/1/2007
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	9/17/2003	12/23/2008
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	10/9/2000	10/4/2009
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	4/22/2009	10/4/2009
Inactive	Gerber Life Insurance Company	300529	Agent - Health	12/8/2022	1/3/2023
Inactive	Gerber Life Insurance Company	300529	Agent - Life	12/8/2022	1/3/2023
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	12/22/2016	4/14/2023
Inactive	Grange Insurance Company	300234	Agent - Property	12/22/2016	4/14/2023
Inactive	Grange Life Insurance Company	300128	Agent - Health	7/1/2014	3/31/2021
Inactive	Grange Life Insurance Company	300128	Agent - Life	7/1/2014	12/28/2020
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	12/22/2016	4/14/2023
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/23/2007	6/30/2013
Inactive	Humana Insurance Company	301104	Agent - Health	4/23/2007	6/30/2013
Inactive	Humana Insurance Company	301104	Agent - Life	4/23/2007	6/30/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/23/2007	6/30/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/23/2007	6/30/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Health	8/18/2011	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	8/18/2011	2/23/2012
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	2/21/2007	11/14/2008
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	2/21/2007	11/14/2008
Inactive	Independent Mutual Fire Insurance Company	300851	Agent - Property	12/16/2002	12/1/2005
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	1/28/2008	7/13/2009
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	1/12/2004	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	1/12/2004	7/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	1/12/2004	4/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	1/12/2004	4/2/2007
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/18/2011	4/25/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	8/18/2011	4/25/2013
Inactive	Kansas City Life Insurance Company	301444	Agent - Life	5/1/2019	4/14/2023
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	2/9/2007	8/18/2008
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	10/22/2003	8/18/2008
Inactive	Pruco Life Insurance Company	300954	Agent - Health	4/30/2008	7/15/2009
Inactive	Pruco Life Insurance Company	300954	Agent - Life	6/10/2016	11/25/2020
Inactive	Time Insurance Company	300683	Agent - Health	7/20/2001	12/10/2004
Inactive	Time Insurance Company	300683	Agent - Life	7/20/2001	12/10/2004
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	1/23/2023	6/30/2023
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	1/23/2023	6/30/2023
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	6/22/2000	10/28/2005
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	5/31/2001	10/28/2005
Inactive	Trustgard Insurance Company	300104	Agent - Property	12/22/2016	4/14/2023
Inactive	United Home Life Insurance Company	300421	Agent - Life	4/23/2007	11/24/2010
Inactive	West Coast Life Insurance Company	301607	Agent - Health	6/18/2008	11/16/2011
Inactive	West Coast Life Insurance Company	301607	Agent - Life	6/18/2008	11/16/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/7/2013	6/30/2023
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/7/2013	6/30/2023
Inactive	Greater Lexington Insurance Agency, Inc	625828	Agent - Life	2/5/2015	6/30/2023
Inactive	Greater Lexington Insurance Agency, Inc	625828	Agent - Health	2/5/2015	6/30/2023
Denied	Greater Lexington Insurance Agency, Inc	625828	Agent - Property
Inactive	Medlink Inc	400721	Agent - Life	5/31/2006	6/30/2013
Inactive	Medlink Inc	400721	Agent - Health	5/31/2006	6/30/2013