DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Chaipan, Matthew William	DOIID	1189300	NAIC NPN	19988449

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	2/22/2022		4/30/2026
Active	Non Resident	Agent	Property	2/22/2022		4/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Economy Insurance Company	300315	Agent - Casualty	5/11/2023
Active	American Economy Insurance Company	300315	Agent - Property	5/11/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	2/5/2024
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	2/5/2024
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	4/11/2022
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	4/11/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Nationwide Sales Solutions Inc	631821	Agent - Casualty	4/11/2022
Active	Nationwide Sales Solutions Inc	631821	Agent - Property	4/11/2022