DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Chelsvig, Carolyn H	DOIID	1137435	NAIC NPN	16528222

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	6/9/2023		11/30/2026
Active	Non Resident	Agent	Property	6/9/2023		11/30/2026
* 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	09/15/2026	11/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Erie Insurance Company of New York	789916	Agent - Casualty	8/14/2023	5/31/2024
Inactive	Erie Insurance Company of New York	789916	Agent - Property	8/14/2023	5/31/2024
Inactive	Erie Insurance Exchange	300789	Agent - Casualty	8/14/2023	5/31/2024
Inactive	Erie Insurance Exchange	300789	Agent - Property	8/14/2023	5/31/2024
Inactive	Flagship City Insurance Company	789965	Agent - Casualty	8/14/2023	5/31/2024
Inactive	Flagship City Insurance Company	789965	Agent - Property	8/14/2023	5/31/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Casualty
Denied	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Property