DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Chambers, C	DOIID	1311560	NAIC NPN	1233224

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	11/21/2023		9/30/2026
Active	Non Resident	Agent	Property	11/21/2023		9/30/2026
Active	Non Resident	Agent	Casualty	11/21/2023		9/30/2026
Active	Non Resident	Agent	Health	11/21/2023		9/30/2026
* 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	07/15/2026	09/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Safety National Casualty Corporation	300390	Agent - Casualty	1/22/2026
Active	Safety National Casualty Corporation	300390	Agent - Property	1/22/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Specialty Risk Services LLC	596363	Agent - Casualty	2/5/2026
Active	Specialty Risk Services LLC	596363	Agent - Life	2/5/2026
Active	Specialty Risk Services LLC	596363	Agent - Health	2/5/2026
Active	Specialty Risk Services LLC	596363	Agent - Property	2/5/2026