DEPARTMENT OF INSURANCE

Affiliations

Name	Chappano, Raymond John	DOIID	787395	NAIC NPN	4945723

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	8/1/2012	8/31/2027
Active	Non Resident	Agent	Life	8/1/2012	8/31/2027
* 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
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	8/1/2012
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	8/1/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/13/2014	12/10/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/13/2014	12/10/2020
Active	Assurity Life Insurance Company	301099	Agent - Health	5/12/2025
Active	Assurity Life Insurance Company	301099	Agent - Life	5/12/2025
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	3/10/2014	12/8/2015
Active	Continental American Insurance Company	301700	Agent - Health	12/6/2012
Active	Continental American Insurance Company	301700	Agent - Life	12/6/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/9/2016	5/2/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/12/2014	12/8/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/10/2014	6/14/2016
Inactive	Humana Insurance Company	301104	Agent - Health	9/12/2014	5/2/2016
Inactive	Humana Insurance Company	301104	Agent - Life	9/12/2014	5/2/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	3/10/2014	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	3/10/2014	12/8/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	3/10/2014	11/3/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	3/10/2014	11/3/2015
Active	Transamerica Life Insurance Company	300571	Agent - Health	5/12/2025
Active	Transamerica Life Insurance Company	300571	Agent - Life	5/12/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Chappano Group LLC	945002	Agent - Life	2/16/2017
Active	Chappano Group LLC	945002	Agent - Health	2/16/2017
Inactive	Designated Agent Company Inc.	681257	Agent - Health	11/13/2014	12/13/2020