DEPARTMENT OF INSURANCE

Affiliations

Name	Chapman, Michael	DOIID	891018	NAIC NPN	6092086

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	9/13/2015	10/31/2024
Pending Replacement	Non Resident	Agent	Life	9/13/2015	10/31/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Inactive	Accendo Insurance Company	300312	Agent - Life	6/10/2020	4/17/2024
Pending Replacement	Aetna Health Inc. (PA)	660717	Agent - Health	11/20/2015
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	4/28/2021	4/17/2024
Pending Replacement	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/4/2020
Pending Replacement	Aetna Life Insurance Company	301140	Agent - Health	11/20/2015
Inactive	American General Life Insurance Company	301585	Agent - Health	3/28/2019	10/22/2024
Inactive	American General Life Insurance Company	301585	Agent - Life	3/28/2019	10/22/2024
Inactive	American Retirement Life Insurance Company	706303	Agent - Health	6/25/2016	12/21/2018
Inactive	American Retirement Life Insurance Company	706303	Agent - Life	6/25/2016	12/21/2018
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	12/3/2019	12/23/2020
Pending Replacement	Banner Life Insurance Company	301696	Agent - Life	3/13/2019
Inactive	CMFG Life Insurance Company	300929	Agent - Life	12/23/2019	2/13/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	6/1/2023	4/17/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	6/1/2023	4/17/2024
Pending Replacement	First Health Life & Health Insurance Company	301735	Agent - Health	11/20/2015
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Health	1/31/2019	11/21/2024
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	1/31/2019	11/21/2024
Inactive	Golden Rule Insurance Company	301943	Agent - Health	1/18/2018	7/26/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Life	1/18/2018	7/26/2021
Inactive	Great Southern Life Insurance Company	301443	Agent - Health	12/3/2019	12/21/2022
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/5/2015	6/8/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/5/2015	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/5/2015	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Health	10/5/2015	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Life	10/5/2015	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/5/2015	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/5/2015	6/8/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/5/2015	6/8/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	6/8/2018
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	11/2/2017	12/21/2018
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	11/2/2017	12/21/2018
Inactive	MEMBERS Life Insurance Company	301289	Agent - Life	12/23/2020	12/26/2023
Inactive	Omaha Insurance Company	751908	Agent - Health	3/21/2017	5/22/2018
Pending Replacement	SilverScript Insurance Company	663526	Agent - Health	8/23/2019
Pending Replacement	United of Omaha Life Insurance Company	300156	Agent - Health	5/10/2020
Pending Replacement	United of Omaha Life Insurance Company	300156	Agent - Life	5/10/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/5/2017	1/17/2019
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	1/5/2017	12/21/2018
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	1/17/2019
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	1/5/2017	1/17/2019
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/22/2019	12/28/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/22/2019	12/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	SelectQuote Insurance Services	533194	Agent - Life	12/5/2018
Pending Replacement	SelectQuote Insurance Services	533194	Agent - Health	12/5/2018