DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Chapman, John Patrick	DOIID	1131962	NAIC NPN	19561734

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	4/29/2021		7/31/2025
Active	Non Resident	Agent	Health	4/29/2021		7/31/2025
* 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	05/15/2025	07/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AXIS Insurance Company	301290	Agent - Health	7/9/2021	8/8/2023
Inactive	Accendo Insurance Company	300312	Agent - Health	7/5/2022	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	3/20/2022
Active	Aetna Health Inc. (PA)	660717	Agent - Health	8/17/2024
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	3/20/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/17/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	8/17/2024
Inactive	American General Life Insurance Company	301585	Agent - Health	3/22/2022	3/31/2022
Inactive	American General Life Insurance Company	301585	Agent - Life	3/22/2022	3/31/2022
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	3/18/2022	10/19/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/20/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/20/2022
Active	Golden Rule Insurance Company	301943	Agent - Health	5/25/2021
Active	Golden Rule Insurance Company	301943	Agent - Life	5/25/2021
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	12/10/2021
Active	SilverScript Insurance Company	663526	Agent - Health	8/17/2024
Inactive	United States Fire Insurance Company	582240	Agent - Health	7/1/2022	5/8/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance IQ, LLC	919554	Agent - Life	9/8/2022	5/15/2024
Inactive	Assurance IQ, LLC	919554	Agent - Health	9/8/2022	5/15/2024
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	7/15/2021	8/15/2022