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DEPARTMENT OF INSURANCE
Affiliations
Name
Ingenium Specialty Programs, LLC
DOIID
1040664
NAIC NPN
19168889
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Life
5/20/2019
8/20/2019
Inactive
Non Resident
Agent
Property
5/20/2019
8/20/2019
Inactive
Non Resident
Agent
Health
5/20/2019
8/20/2019
Inactive
Non Resident
Agent
Casualty
5/20/2019
8/20/2019
* If a status Is
Pending, Pending Replacement
,Or the record displays
Affidavit On File
, click On them For more details.
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Chavious, Glenn T
561726
Agent - Casualty
5/20/2019
8/20/2019
Inactive
Chavious, Glenn T
561726
Agent - Health
5/20/2019
8/20/2019
Inactive
Chavious, Glenn T
561726
Agent - Life
5/20/2019
8/20/2019
Inactive
Chavious, Glenn T
561726
Agent - Property
5/20/2019
8/20/2019
Inactive
Mitilier, Jared Jay
634563
Agent - Casualty
5/20/2019
8/20/2019
Inactive
Mitilier, Jared Jay
634563
Agent - Property
5/20/2019
8/20/2019
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