DEPARTMENT OF INSURANCE
Affiliations
NameGold Chip Insurance Marketing LLCDOIID502132NAIC NPN7223053
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentProperty4/23/2008 3/31/2026
ActiveResidentAgentCasualty4/23/2008 3/31/2026
ActiveResidentAgentHealth5/11/2000 3/31/2026
ActiveResidentAgentLife5/11/2000 3/31/2026
InactiveResidentAgentHealth Maintenance Organization2/4/20003/1/2001 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202603/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveACE American Insurance Company300625Agent - Casualty7/6/2020 
ActiveACE American Insurance Company300625Agent - Property7/6/2020 
ActiveACE Fire Underwriters Insurance Company301679Agent - Casualty7/6/2020 
ActiveACE Fire Underwriters Insurance Company301679Agent - Property7/6/2020 
ActiveACE Property and Casualty Insurance Company300520Agent - Casualty7/6/2020 
ActiveACE Property and Casualty Insurance Company300520Agent - Property7/6/2020 
InactiveAetna Health Inc.300694Agent - Health7/26/200112/31/2007
InactiveAetna Health Inc. (PA)660717Agent - Health12/31/20079/22/2010
InactiveAetna Life Insurance Company301140Agent - Health7/26/20019/22/2010
InactiveAetna Life Insurance Company301140Agent - Life7/26/20019/22/2010
InactiveAmerican Alternative Insurance Corporation301697Agent - Casualty3/31/20142/18/2021
InactiveAmerican Alternative Insurance Corporation301697Agent - Property3/31/20142/18/2021
InactiveAmerican Economy Insurance Company300315Agent - Casualty3/10/20215/17/2023
InactiveAmerican Economy Insurance Company300315Agent - Property3/10/20215/17/2023
InactiveAmerican Modern Home Insurance Company300791Agent - Casualty8/8/201912/13/2023
InactiveAmerican Modern Home Insurance Company300791Agent - Property8/8/201912/13/2023
ActiveBankers Standard Insurance Company301620Agent - Casualty7/6/2020 
ActiveBankers Standard Insurance Company301620Agent - Property7/6/2020 
InactiveBaptist Health Plan, Inc.300157Agent - Health11/7/20033/31/2019
InactiveBaptist Health Plan, Inc.300157Agent - Health Maintenance Organization2/4/20003/1/2001
ActiveBrotherhood Mutual Insurance Company300940Agent - Casualty5/1/2008 
ActiveBrotherhood Mutual Insurance Company300940Agent - Health4/25/2008 
ActiveBrotherhood Mutual Insurance Company300940Agent - Property5/1/2008 
InactiveC.M. Life Insurance Company301335Agent - Health9/28/200012/18/2000
InactiveCHA HMO, Inc.300662Agent - Health11/21/200312/10/2012
ActiveChubb Indemnity Insurance Company300438Agent - Casualty7/6/2020 
ActiveChubb Indemnity Insurance Company300438Agent - Property7/6/2020 
ActiveChubb National Insurance Company301392Agent - Casualty7/6/2020 
ActiveChubb National Insurance Company301392Agent - Property7/6/2020 
InactiveChurch Mutual Insurance Company, S.I.301554Agent - Casualty3/26/20191/24/2022
InactiveChurch Mutual Insurance Company, S.I.301554Agent - Property3/26/20191/24/2022
InactiveClearPath Insurance Company979815Agent - Casualty1/1/20181/8/2025
InactiveCompBenefits Dental, Inc.591692Agent - Health6/20/20087/14/2014
InactiveCompBenefits Insurance Company301864Agent - Health6/20/20087/2/2013
InactiveCompBenefits Insurance Company301864Agent - Life6/20/20087/2/2013
InactiveDental Concern Inc. (The)301641Agent - Health2/26/20077/14/2014
ActiveExecutive Risk Indemnity Inc.301510Agent - Casualty7/6/2020 
ActiveFederal Insurance Company301144Agent - Casualty7/6/2020 
ActiveFederal Insurance Company301144Agent - Health7/6/2020 
ActiveFederal Insurance Company301144Agent - Property7/6/2020 
ActiveGreat Northern Insurance Company301107Agent - Casualty7/6/2020 
ActiveGreat Northern Insurance Company301107Agent - Property7/6/2020 
ActiveGuideOne Elite Insurance Company300490Agent - Casualty1/22/2019 
ActiveGuideOne Elite Insurance Company300490Agent - Property1/22/2019 
ActiveGuideOne Insurance Company301794Agent - Casualty1/22/2019 
ActiveGuideOne Insurance Company301794Agent - Property1/22/2019 
ActiveGuideOne Specialty Insurance Company300278Agent - Casualty1/22/2019 
ActiveGuideOne Specialty Insurance Company300278Agent - Property1/22/2019 
InactiveHumana Health Plan, Inc.300142Agent - Health11/10/20037/14/2014
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization4/10/20003/1/2001
InactiveHumana Insurance Company301104Agent - Health11/10/20037/14/2014
InactiveHumana Insurance Company301104Agent - Life11/11/20037/14/2014
InactiveHumana Insurance Company of Kentucky300826Agent - Health1/29/20047/14/2014
InactiveHumana Insurance Company of Kentucky300826Agent - Life1/29/20047/14/2014
InactiveHumanaDental Insurance Company301457Agent - Health6/20/20085/13/2013
InactiveHumanaDental Insurance Company301457Agent - Life6/20/20085/13/2013
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health8/6/20047/2/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life8/6/20047/2/2007
InactiveKanawha Insurance Company300127Agent - Health6/20/20084/25/2013
InactiveKanawha Insurance Company300127Agent - Life6/20/20084/25/2013
ActiveLincoln National Life Insurance Company (The)301382Agent - Health6/29/2007 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life6/29/2007 
InactiveMML Bay State Life Insurance Company301198Agent - Health5/11/20005/15/2006
InactiveMML Bay State Life Insurance Company301198Agent - Life5/11/20005/15/2006
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Health9/28/200012/18/2000
ActivePacific Employers Insurance Company301753Agent - Casualty7/6/2020 
ActivePacific Employers Insurance Company301753Agent - Property7/6/2020 
ActivePacific Indemnity Company301610Agent - Casualty7/6/2020 
ActivePacific Indemnity Company301610Agent - Property7/6/2020 
InactiveSAFECO Insurance Company of America300159Agent - Casualty3/10/20215/17/2023
InactiveSAFECO Insurance Company of America300159Agent - Property3/10/20215/17/2023
InactiveSAFECO Insurance Company of Illinois301350Agent - Casualty3/10/20215/17/2023
InactiveSAFECO Insurance Company of Illinois301350Agent - Property3/10/20215/17/2023
InactiveUnitedHealthcare Insurance Company300946Agent - Health8/3/20214/4/2022
InactiveUnitedHealthcare Insurance Company300946Agent - Life5/3/200411/30/2016
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/3/20214/4/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health8/3/202112/23/2021
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health Maintenance Organization3/1/20003/1/2001
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health5/3/200411/30/2016
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health8/3/20214/4/2022
ActiveVigilant Insurance Company301143Agent - Casualty7/6/2020 
ActiveVigilant Insurance Company301143Agent - Property7/6/2020 
ActiveWestchester Fire Insurance Company300990Agent - Casualty7/6/2020 
ActiveWestchester Fire Insurance Company300990Agent - Property7/6/2020 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAbell, Rita A 334710Agent - Health Maintenance Organization2/17/20004/7/2000
ActiveCobb, Tim W 349496Agent - Casualty4/23/2008 
ActiveCobb, Tim W 349496Agent - Health5/11/2000 
InactiveCobb, Tim W 349496Agent - Health Maintenance Organization2/4/20003/1/2001
ActiveCobb, Tim W 349496Agent - Life5/11/2000 
ActiveCobb, Tim W 349496Agent - Property4/23/2008 
InactiveCoffman, Janice Lee 357248Agent - Health5/10/20001/16/2002
InactiveShewmaker, David Lee 320286Agent - Casualty7/16/200812/14/2017
InactiveShewmaker, David Lee 320286Agent - Property7/16/200812/14/2017

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