DEPARTMENT OF INSURANCE

Name	Chaplin Ins Agy Inc. DBA : Whitehouse & Pulliam	DOIID	399787	NAIC NPN	7221931

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	6/19/1995		3/31/2027
Active	Resident	Agent	Property	8/15/2000		3/31/2027
Active	Resident	Agent	Casualty	8/4/2000		3/31/2027
Active	Resident	Agent	Life	6/19/1995		3/31/2027
Inactive	Resident	Agent	Assessment Chapter 299	11/20/1997	12/1/2000
Inactive	Resident	Agent	Health Maintenance Organization	10/30/1995	3/1/2001
Inactive	Resident	Agent	General Lines	8/6/1985	8/15/2000

*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	01/15/2025	03/31/2025	12/31/2024	12/31/2024	Yes

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.

Address Information

Type	Address
Business / Home Office	5950 Lawrenceburg Rd P.O. Box 200Chaplin, KY 40012
Mailing	5950 Lawrenceburg Rd P.O. Box 200Chaplin, KY 40012