DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Chapin, Douglas A	DOIID	1369754	NAIC NPN	7312012

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	10/29/2024		5/31/2027
Active	Non Resident	Agent	Health	10/29/2024		5/31/2027
* 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	03/15/2027	05/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	All Savers Insurance Company	301940	Agent - Health	11/7/2024
Active	All Savers Insurance Company	301940	Agent - Life	11/7/2024
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	10/22/2025
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	10/22/2025
Active	ReliaStar Life Insurance Company	301712	Agent - Health	11/18/2024
Active	ReliaStar Life Insurance Company	301712	Agent - Life	11/18/2024
Inactive	Starmount Life Insurance Company	628031	Agent - Health	10/22/2025	10/1/2026
Active	UNUM Life Insurance Company of America	300817	Agent - Health	10/22/2025
Active	UNUM Life Insurance Company of America	300817	Agent - Life	10/22/2025
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	11/7/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	11/7/2024
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/7/2024
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	11/7/2024
Active	Unum Insurance Company	301499	Agent - Health	10/22/2025
Active	Unum Insurance Company	301499	Agent - Life	10/22/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Towers Watson Midwest, Inc	534348	Agent - Life	10/1/2025	12/24/2025
Inactive	Willis Towers Watson Midwest, Inc	534348	Agent - Health	10/1/2025	12/24/2025