DEPARTMENT OF INSURANCE

Affiliations

Name	Chapital, Tracy	DOIID	580026	NAIC NPN	1964313

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	11/26/2018	11/30/2025
Active	Non Resident	Agent	Health	11/26/2018	11/30/2025
* 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	09/15/2025	11/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	9/22/2021	11/19/2024
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	9/20/2021
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/22/2021	11/19/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/22/2021	11/19/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/30/2021	11/5/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	11/5/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2021	11/5/2024
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	9/30/2021
Inactive	CMFG Life Insurance Company	300929	Agent - Health	12/7/2018	1/18/2019
Inactive	CMFG Life Insurance Company	300929	Agent - Life	12/7/2018	1/18/2019
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	5/24/2023	11/7/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/26/2021	11/5/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	9/20/2021
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/16/2021	11/19/2024
Active	Loyal American Life Insurance Company	301172	Agent - Health	9/15/2021
Active	Loyal American Life Insurance Company	301172	Agent - Life	9/15/2021
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	9/27/2021	11/5/2024
Active	Omaha Health Insurance Company	301296	Agent - Health	10/8/2023
Inactive	SilverScript Insurance Company	663526	Agent - Health	9/22/2021	11/19/2024
Active	Transamerica Life Insurance Company	300571	Agent - Health	10/11/2021
Active	Transamerica Life Insurance Company	300571	Agent - Life	10/11/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/24/2023	11/7/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	10/6/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/6/2021	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	5/24/2023	11/7/2024
Inactive	Vision Service Plan Insurance Company	300526	Agent - Health	6/7/2024	11/14/2024
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	8/3/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Alight Health Market Insurance Solutions Inc	643602	Agent - Health	10/13/2021	10/21/2024