DEPARTMENT OF INSURANCE

Affiliations

Name	Chapman, Michael David	DOIID	1138584	NAIC NPN	7586693

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	6/9/2021	5/31/2025
Active	Non Resident	Agent	Life	6/9/2021	5/31/2025
* 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	03/15/2025	05/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	12/21/2022	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	12/21/2022
Active	Aetna Health Inc. (PA)	660717	Agent - Health	6/14/2021
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	12/21/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	6/14/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	6/14/2021
Active	American General Life Insurance Company	301585	Agent - Health	9/15/2023
Active	American General Life Insurance Company	301585	Agent - Life	9/15/2023
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	2/28/2022	12/16/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/18/2023	7/24/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/18/2023	7/24/2024
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	9/26/2022	12/6/2022
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022	2/19/2024
Inactive	CareSource Kentucky Co.	838179	Agent - Health	8/9/2023	1/11/2024
Inactive	CompBenefits Insurance Company	301864	Agent - Health	8/24/2022	12/6/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	12/21/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	12/21/2022
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/3/2022	12/6/2022
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	11/13/2023	7/8/2024
Inactive	Golden Rule Insurance Company	301943	Agent - Health	7/31/2023	2/10/2024
Inactive	Golden Rule Insurance Company	301943	Agent - Life	7/31/2023	2/10/2024
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/3/2022	12/6/2022
Inactive	Humana Insurance Company	301104	Agent - Health	8/24/2022	12/6/2022
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/3/2022	12/6/2022
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/3/2022	12/6/2022
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	9/6/2023	1/25/2024
Active	SilverScript Insurance Company	663526	Agent - Health	6/14/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/5/2021	2/19/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	7/5/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/5/2021	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/5/2021	2/19/2024
Inactive	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	9/14/2023	3/31/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Healthcompare Ins Services Inc	708319	Agent - Health	6/14/2021	3/10/2022