DEPARTMENT OF INSURANCE
Affiliations
NameIngenium Specialty Programs, LLCDOIID1040664NAIC NPN19168889
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife5/20/20198/20/2019 
InactiveNon ResidentAgentProperty5/20/20198/20/2019 
InactiveNon ResidentAgentHealth5/20/20198/20/2019 
InactiveNon ResidentAgentCasualty5/20/20198/20/2019 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveChavious, Glenn T 561726Agent - Casualty5/20/20198/20/2019
InactiveChavious, Glenn T 561726Agent - Health5/20/20198/20/2019
InactiveChavious, Glenn T 561726Agent - Life5/20/20198/20/2019
InactiveChavious, Glenn T 561726Agent - Property5/20/20198/20/2019
InactiveMitilier, Jared Jay 634563Agent - Casualty5/20/20198/20/2019
InactiveMitilier, Jared Jay 634563Agent - Property5/20/20198/20/2019

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