DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Chapin, Jeffrey E	DOIID	1031663	NAIC NPN	9373461

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	3/7/2019		7/31/2026
Active	Non Resident	Agent	Property	3/7/2019		7/31/2026
* 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	05/15/2024	07/31/2024	05/07/2024	05/07/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	3/17/2020	12/19/2023
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	3/17/2020	12/19/2023
Active	Starr Indemnity and Liability Company	301685	Agent - Casualty	5/6/2019
Active	Starr Indemnity and Liability Company	301685	Agent - Property	5/6/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Coverwallet Inc	906767	Agent - Casualty	5/6/2019
Active	Coverwallet Inc	906767	Agent - Property	5/6/2019