DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Chapman, Blake E	DOIID	748358	NAIC NPN	252806

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	3/2/2011		8/31/2026
Active	Non Resident	Agent	Health	3/2/2011		8/31/2026
* 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 Fidelity Assurance Company	301004	Agent - Health	5/10/2020	11/30/2023
Inactive	American Fidelity Assurance Company	301004	Agent - Life	5/10/2020	11/30/2023
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	11/24/2020
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	11/24/2020
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	6/3/2011	12/16/2014
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	6/3/2011	12/16/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Alliant Insurance Services, Inc.	551378	Agent - Health	5/25/2014	12/16/2014
Inactive	Alliant Insurance Services, Inc.	551378	Agent - Life	5/25/2014	12/16/2014
Denied	Dental Choice Agency Inc.	398085	Agent - Health
Inactive	Willis Of Illinois Inc	398318	Agent - Health	6/7/2011	4/28/2014
Inactive	Willis Of Illinois Inc	398318	Agent - Life	6/7/2011	4/28/2014