DEPARTMENT OF INSURANCE

Affiliations

Name	Chapman, Lisa	DOIID	811625	NAIC NPN	16976093

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Casualty	7/24/2013	9/30/2025
Active	Resident	Agent	Health	9/11/2015	9/30/2025
Active	Resident	Agent	Life	9/4/2015	9/30/2025
Active	Resident	Agent	Property	8/13/2013	9/30/2025
* 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	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	4/8/2015	6/11/2015
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	4/8/2015	6/11/2015
Inactive	Athene Annuity and Life Company	301893	Agent - Life	4/11/2016	11/22/2021
Inactive	Bankers Life and Casualty Company	300701	Agent - Health	9/15/2015	9/22/2015
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	9/15/2015	9/22/2015
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	9/15/2014	8/17/2016
Inactive	Bristol West Insurance Company	301655	Agent - Property	9/15/2014	8/17/2016
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Health	9/15/2015	9/22/2015
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Life	9/15/2015	9/22/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/15/2014	8/17/2016
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/15/2014	8/17/2016
Inactive	Nationwide General Insurance Company	300603	Agent - Casualty	10/25/2016	4/1/2019
Inactive	Nationwide General Insurance Company	300603	Agent - Property	10/25/2016	4/1/2019
Inactive	Nationwide Insurance Company of America	300333	Agent - Casualty	10/25/2016	4/1/2019
Inactive	Nationwide Insurance Company of America	300333	Agent - Property	10/25/2016	4/1/2019
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	10/21/2016	3/29/2019
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	10/21/2016	3/29/2019
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	10/21/2016	3/29/2019
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	10/21/2016	3/29/2019
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Casualty	10/25/2016	4/1/2019
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Property	10/25/2016	4/1/2019
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	10/25/2016	4/1/2019
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	10/25/2016	4/1/2019
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	10/25/2016	4/1/2019
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	10/25/2016	4/1/2019
Inactive	Old American Insurance Company	300762	Agent - Life	9/6/2019	10/21/2019
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	8/9/2019	8/30/2021
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	8/9/2019	8/30/2021
Inactive	Symetra Life Insurance Company	301691	Agent - Health	9/3/2019	6/17/2024
Inactive	Symetra Life Insurance Company	301691	Agent - Life	9/3/2019	6/17/2024
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/30/2015	7/1/2016
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/30/2015	7/1/2016
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	10/30/2015	7/1/2016
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	10/30/2015	7/1/2016
Inactive	United Financial Casualty Company	301886	Agent - Casualty	8/9/2019	8/30/2021
Inactive	United Financial Casualty Company	301886	Agent - Property	8/9/2019	8/30/2021
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	10/25/2016	3/9/2018
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	10/25/2016	3/9/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Alexander & Alexander, Inc.	545915	Agent - Property	8/9/2019	8/5/2021
Inactive	Alexander & Alexander, Inc.	545915	Agent - Casualty	8/9/2019	8/5/2021
Active	Assuredpartners Of New Jersey LLC	828232	Agent - Life	8/7/2023
Active	Assuredpartners Of New Jersey LLC	828232	Agent - Health	8/7/2023
Inactive	Guardian Ins Wholesalers Inc	730568	Agent - Property	11/5/2013	6/4/2015
Inactive	Guardian Ins Wholesalers Inc	730568	Agent - Casualty	11/5/2013	6/4/2015
Inactive	Guardian Ins Wholesalers Inc	730568	Agent - Life	9/19/2017	8/5/2021
Inactive	Guardian Ins Wholesalers Inc	730568	Agent - Health	9/3/2019	8/5/2021