DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Chapman, Robert Kimball	DOIID	1165517	NAIC NPN	19879745

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	10/11/2021		5/31/2026
Active	Non Resident	Agent	Health	10/11/2021		5/31/2026
* 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	03/15/2026	05/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/5/2022	12/16/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/5/2022	12/16/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/5/2022	12/16/2024
Active	CareSource Kentucky Co.	838179	Agent - Health	10/17/2022
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	5/20/2022	2/3/2025
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	5/20/2022	2/3/2025
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	10/13/2021	5/13/2022
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	10/13/2021	5/13/2022
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	4/9/2024
Active	Tier One Insurance Company	301056	Agent - Health	10/14/2025
Active	Tier One Insurance Company	301056	Agent - Life	10/14/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Life	10/13/2021	5/13/2022
Inactive	Ushealth Advisors Llc	713288	Agent - Health	10/13/2021	5/13/2022