DEPARTMENT OF INSURANCE

Name	Frederick, Chase	DOIID	1317505	NAIC NPN	21028199

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Pending Replacement	Non Resident	Agent	Personal Lines	1/4/2024		6/30/2026

*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	04/15/2026	06/30/2026

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	116 Hemlock Rd Saint Marys, PA 158572114
Residence	Not Public Information

Internet Information

Type	Address
Business Email	clibersat92@gmail.com

Phone Information

Type	Phone
Business / Home Office	(407) 271-9950