DEPARTMENT OF INSURANCE
Affiliations
NameChaipan, Matthew WilliamDOIID1189300NAIC NPN19988449
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentCasualty2/22/2022 4/30/2026
ActiveNon ResidentAgentProperty2/22/2022 4/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent02/15/202604/30/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican Economy Insurance Company300315Agent - Casualty5/11/20238/12/2024
InactiveAmerican Economy Insurance Company300315Agent - Property5/11/20238/12/2024
InactiveAmerican Modern Property and Casualty Insurance Company301954Agent - Casualty2/5/20248/14/2024
InactiveAmerican Modern Property and Casualty Insurance Company301954Agent - Property2/5/20248/14/2024
ActiveEssentia Insurance Company300342Agent - Casualty7/24/2025 
ActiveEssentia Insurance Company300342Agent - Property7/24/2025 
InactiveNationwide Mutual Insurance Company301749Agent - Casualty4/11/20228/13/2024
InactiveNationwide Mutual Insurance Company301749Agent - Property4/11/20228/13/2024
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveHagerty Ins Agency LLC541031Agent - Casualty7/24/2025 
ActiveHagerty Ins Agency LLC541031Agent - Property7/24/2025 
InactiveNationwide Sales Solutions Inc631821Agent - Casualty4/11/20228/14/2024
InactiveNationwide Sales Solutions Inc631821Agent - Property4/11/20228/14/2024

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