DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kaplan, Chanan	DOIID	721236	NAIC NPN	977291

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	4/15/2021	12/31/2022
Inactive	Non Resident	Agent	Life	4/15/2021	12/31/2022
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/9/2019	12/31/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/9/2019	12/31/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/9/2019	12/31/2020
Inactive	Delta Dental of Kentucky, Inc.	301166	Agent - Health	3/18/2019	12/31/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	8/29/2019	12/31/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	8/15/2019	12/31/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Life	8/15/2019	12/31/2020
Inactive	Fairmont Financial Services Inc	1050550	Agent - Health	8/7/2019	12/31/2020
Inactive	Fairmont Financial Services Inc	1050550	Agent - Life	8/7/2019	12/31/2020