DEPARTMENT OF INSURANCE

Affiliations

Name	Chapman, Timothy O	DOIID	727596	NAIC NPN	8657181

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	5/1/2019	8/31/2025
Active	Non Resident	Agent	Casualty	5/1/2019	8/31/2025
Active	Non Resident	Agent	Life	5/1/2019	8/31/2025
Active	Non Resident	Agent	Property	5/1/2019	8/31/2025
* 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	21st Century North America Insurance Company	300884	Agent - Casualty	8/2/2013	7/23/2014
Inactive	21st Century North America Insurance Company	300884	Agent - Property	8/2/2013	7/23/2014
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	2/7/2023	6/6/2024
Inactive	CompBenefits Insurance Company	301864	Agent - Health	7/24/2023	6/6/2024
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/17/2023	6/6/2024
Inactive	Electric Insurance Company	301758	Agent - Casualty	5/11/2010	12/22/2011
Inactive	Electric Insurance Company	301758	Agent - Property	5/11/2010	12/22/2011
Inactive	Esurance Insurance Company	301072	Agent - Casualty	8/1/2013	7/8/2014
Inactive	Esurance Insurance Company	301072	Agent - Property	8/1/2013	7/8/2014
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	8/7/2013	7/10/2014
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	8/7/2013	7/10/2014
Inactive	First National Insurance Company of America	301690	Agent - Casualty	5/12/2010	3/29/2013
Inactive	First National Insurance Company of America	301690	Agent - Property	5/12/2010	3/29/2013
Inactive	General Insurance Company of America	300261	Agent - Casualty	5/12/2010	3/29/2013
Inactive	General Insurance Company of America	300261	Agent - Property	5/12/2010	3/29/2013
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	8/22/2013	8/31/2015
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	8/22/2013	8/31/2015
Inactive	Grange Insurance Company	300234	Agent - Casualty	8/22/2013	8/31/2015
Inactive	Grange Insurance Company	300234	Agent - Property	8/22/2013	8/31/2015
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	8/22/2013	8/31/2015
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	8/22/2013	8/31/2015
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	9/10/2013	7/9/2014
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	9/10/2013	7/9/2014
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	2/7/2023	6/6/2024
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	2/7/2023	6/6/2024
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/13/2023	6/6/2024
Inactive	Humana Insurance Company	301104	Agent - Health	2/7/2023	6/6/2024
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	8/2/2023	6/6/2024
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	7/24/2023	6/6/2024
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	8/6/2013	7/11/2014
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	8/6/2013	7/11/2014
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	8/6/2013	7/11/2014
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	8/6/2013	7/11/2014
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	5/10/2013	8/14/2013
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	5/10/2013	8/14/2013
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	5/10/2013	8/14/2013
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	5/10/2013	8/14/2013
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	5/10/2013	8/14/2013
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	5/10/2013	8/14/2013
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	8/22/2013	8/31/2015
Inactive	Trustgard Insurance Company	300104	Agent - Property	8/22/2013	8/31/2015
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	2/20/2014	7/11/2014
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	2/20/2014	7/11/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Humana MarketPOINT Inc.	398092	Agent - Life
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	6/9/2022	1/10/2023
Inactive	Insurance Answer Center LLC	694353	Agent - Casualty	7/30/2013	2/11/2015
Inactive	Insurance Answer Center LLC	694353	Agent - Property	7/30/2013	8/31/2015