DEPARTMENT OF INSURANCE

Affiliations

Name	Chapman, Joshua Mark	DOIID	591344	NAIC NPN	7843161

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	6/21/2004	2/28/2009
Inactive	Non Resident	Agent	Health	6/21/2004	2/28/2009
* 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	Aetna Health Inc.	300694	Agent - Health	8/2/2006	12/31/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	6/25/2008
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/2/2006	6/25/2008
Inactive	Aetna Life Insurance Company	301140	Agent - Life	8/2/2006	6/25/2008
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	1/11/2005	12/31/2008
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	1/11/2005	12/31/2008
Inactive	CIGNA Dental Health of Kentucky, Inc.	300904	Agent - Health	1/28/2006	6/10/2008
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	1/28/2006	6/10/2008
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	1/28/2006	6/10/2008
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	1/11/2005	12/31/2008
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	1/11/2005	12/31/2008
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	8/2/2004	2/28/2009
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	8/2/2004	2/28/2009
Inactive	Humana Insurance Company	301104	Agent - Health	11/19/2004	2/28/2009
Inactive	Humana Insurance Company	301104	Agent - Life	11/19/2004	2/28/2009
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/3/2005	2/28/2009
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	6/3/2005	2/28/2009
Inactive	United Concordia Dental Plans of Kentucky Inc.	301923	Agent - Health	2/13/2006	6/2/2008
Inactive	United Concordia Life and Health Insurance Company	301220	Agent - Health	2/13/2006	6/2/2008
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/16/2004	2/28/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	8/16/2004	2/28/2009
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/16/2004	2/28/2009
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/16/2004	2/28/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Paychex Insurance Agency Inc	509469	Agent - Health	11/29/2004	6/9/2008
Inactive	Paychex Insurance Agency Inc	509469	Agent - Life	11/29/2004	6/9/2008