DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Chapman, Carl Anthony	DOIID	658270	NAIC NPN	7545399

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	6/25/2007	12/31/2009
Inactive	Non Resident	Agent	Property	6/25/2007	12/31/2009
Inactive	Non Resident	Agent	Health	6/25/2007	12/31/2009
Inactive	Non Resident	Agent	Casualty	6/25/2007	12/31/2009
* 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	American National Property and Casualty Company	300392	Agent - Casualty	12/17/2007	6/4/2008
Inactive	American National Property and Casualty Company	300392	Agent - Property	12/17/2007	6/4/2008
Inactive	Tesla Insurance Company	300337	Agent - Casualty	11/19/2007	5/21/2008
Inactive	Tesla Insurance Company	300337	Agent - Property	11/19/2007	5/21/2008
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	11/21/2007	5/21/2008
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	11/21/2007	5/21/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Southwest Business Corporation	552783	Agent - Casualty
Denied	Southwest Business Corporation	552783	Agent - Health
Denied	Southwest Business Corporation	552783	Agent - Life
Denied	Southwest Business Corporation	552783	Agent - Property