DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Chapman, Nancy	DOIID	628040	NAIC NPN	8165501

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	3/16/2006	4/30/2008
Inactive	Non Resident	Agent	Health	3/16/2006	4/30/2008
* 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	Boston Mutual Life Insurance Company	300143	Agent - Health	8/4/2006	4/16/2008
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	8/4/2006	4/16/2008
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/9/2006	4/30/2008
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/9/2006	4/30/2008
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	4/11/2006	4/30/2008
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	4/11/2006	4/30/2008
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	3/16/2006	4/30/2008
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	3/16/2006	3/23/2006
Inactive	ReliaStar Life Insurance Company of New York	301018	Agent - Health	3/16/2006	4/30/2008
Inactive	ReliaStar Life Insurance Company of New York	301018	Agent - Life	3/16/2006	3/23/2006
Inactive	Security Mutual Life Insurance Company of NY	300708	Agent - Life	4/3/2006	4/30/2008
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	4/17/2006	10/26/2006
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	4/17/2006	10/26/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	The Farmington Company	534046	Agent - Health	4/10/2006	4/30/2008
Inactive	The Farmington Company	534046	Agent - Life	4/10/2006	4/30/2008