DEPARTMENT OF INSURANCE

Affiliations

Name	Chapman, Sean Thomas	DOIID	628791	NAIC NPN	8641555

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	3/24/2006	12/31/2017
Inactive	Non Resident	Agent	Life	3/24/2006	12/31/2017
* 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. (PA)	660717	Agent - Health	12/26/2009	12/31/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Health	12/26/2009	12/31/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Life	12/26/2009	12/31/2017
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Health	1/21/2016	12/31/2017
Inactive	American General Life Insurance Company	301585	Agent - Health	2/11/2007	7/23/2009
Inactive	American General Life Insurance Company	301585	Agent - Life	2/11/2007	7/23/2009
Inactive	American Retirement Life Insurance Company	706303	Agent - Health	5/28/2014	12/24/2015
Inactive	American Retirement Life Insurance Company	706303	Agent - Life	5/28/2014	12/24/2015
Inactive	Assurity Life Insurance Company	301099	Agent - Health	4/27/2012	5/11/2012
Inactive	Assurity Life Insurance Company	301099	Agent - Life	4/27/2012	5/11/2012
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	6/6/2017	12/31/2017
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/9/2010	12/5/2014
Inactive	Continental General Insurance Company	300691	Agent - Health	5/9/2006	11/28/2008
Inactive	Continental General Insurance Company	300691	Agent - Life	5/9/2006	11/28/2008
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/7/2009	12/5/2014
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	4/24/2013	3/11/2014
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/18/2012	12/31/2017
Inactive	Gerber Life Insurance Company	300529	Agent - Health	2/6/2014	6/9/2016
Inactive	Gerber Life Insurance Company	300529	Agent - Life	2/6/2014	6/9/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Health	5/15/2006	6/23/2006
Inactive	Golden Rule Insurance Company	301943	Agent - Life	5/15/2006	6/23/2006
Inactive	HCC Life Insurance Company	301827	Agent - Health	3/1/2016	10/3/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/7/2009	5/2/2016
Inactive	Humana Insurance Company	301104	Agent - Health	8/7/2009	6/14/2016
Inactive	Humana Insurance Company	301104	Agent - Life	8/7/2009	6/14/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/7/2009	12/5/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/7/2009	12/5/2014
Inactive	HumanaDental Insurance Company	301457	Agent - Health	7/26/2012	12/19/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	7/26/2012	12/19/2012
Inactive	Independent Order of Foresters	300743	Agent - Health	11/8/2011	12/31/2013
Inactive	Independent Order of Foresters	300743	Agent - Life	11/8/2011	12/31/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/26/2012	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	7/26/2012	12/5/2014
Inactive	Medico Insurance Company	301559	Agent - Health	9/28/2012	10/16/2012
Inactive	Medico Insurance Company	301559	Agent - Life	9/28/2012	10/16/2012
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	11/4/2011	12/26/2012
Inactive	Nassau Life Insurance Company of Texas	300872	Agent - Health	1/20/2012	9/13/2012
Inactive	Nassau Life Insurance Company of Texas	300872	Agent - Life	1/20/2012	9/13/2012
Inactive	Omaha Insurance Company	751908	Agent - Health	3/10/2016	1/28/2018
Inactive	Time Insurance Company	300683	Agent - Health	10/28/2013	12/20/2014
Inactive	Time Insurance Company	300683	Agent - Life	10/28/2013	12/20/2014
Inactive	United American Insurance Company	300910	Agent - Health	7/27/2006	10/9/2007
Inactive	United American Insurance Company	300910	Agent - Life	7/27/2006	10/9/2007
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	11/4/2011	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	11/4/2011	12/26/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/5/2011	1/22/2013
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/5/2011	1/22/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	HBDC II, Inc	641352	Agent - Health	2/15/2007	7/28/2009
Inactive	HBDC II, Inc	641352	Agent - Life	2/15/2007	7/28/2009
Inactive	Health & Life Assoc	812383	Agent - Health	6/13/2013	3/31/2015
Inactive	Health & Life Assoc	812383	Agent - Life	6/13/2013	3/31/2015