DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Green, Chanel	DOIID	1238462	NAIC NPN	19054990

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Property	10/24/2022		5/31/2025
Pending Replacement	Non Resident	Agent	Casualty	10/24/2022		5/31/2025
* 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	03/15/2025	05/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Essentia Insurance Company	300342	Agent - Casualty	11/2/2022
Pending Replacement	Essentia Insurance Company	300342	Agent - Property	11/2/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Hagerty Ins Agency LLC	541031	Agent - Casualty	11/4/2022
Inactive	Hagerty Ins Agency LLC	541031	Agent - Property	11/4/2022	4/27/2023