DEPARTMENT OF INSURANCE

Affiliations

Name	Chapman, Gerald Stephen	DOIID	323417	NAIC NPN	7169434

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health Maintenance Organization	4/6/1998	7/1/1998
Inactive	Resident	Agent	Life	5/6/2005	7/1/2006
Inactive	Resident	Agent	Health	5/6/2005	7/1/2006
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	3/21/1996	7/1/1998
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	3/21/1996	7/1/1998
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	7/7/1993	7/1/1998
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	7/7/1993	7/1/1998
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	5/11/1995	7/1/1998
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	5/11/1995	7/1/1998
Inactive	Forethought Life Insurance Company	301407	Agent - Health	1/26/2006	7/1/2006
Inactive	Forethought Life Insurance Company	301407	Agent - Life	1/26/2006	7/1/2006
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	4/6/1998	7/1/1998
Inactive	Humana Insurance Company	301104	Agent - Health	4/6/1998	7/1/1998
Inactive	Humana Insurance Company	301104	Agent - Life	4/6/1998	7/1/1998
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	6/7/2005	7/1/2006
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	6/7/2005	7/1/2006
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	6/7/2005	7/1/2006
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	6/7/2005	7/1/2006
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	11/8/2005	7/1/2006
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	11/8/2005	7/1/2006
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	5/1/1995	7/1/1998
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	5/1/1995	7/1/1998
Inactive	Midland National Life Insurance Company	300923	Agent - Health	8/12/1993	3/31/1997
Inactive	Midland National Life Insurance Company	300923	Agent - Life	8/12/1993	3/31/1997
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/14/1995	7/1/1998
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	6/14/1995	7/1/1998
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	10/13/1995	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	10/13/1995	3/31/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997