DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Chambers Bay Insurance, LLC	DOIID	1263252	NAIC NPN	18873491

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	3/20/2023		3/31/2027
Active	Non Resident	Agent	Casualty	3/20/2023		3/31/2027
* 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	AmGUARD Insurance Company	500010	Agent - Casualty	4/5/2023
Active	AmGUARD Insurance Company	500010	Agent - Property	4/5/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	5/11/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	5/11/2023
Active	NorGUARD Insurance Company	500015	Agent - Casualty	4/5/2023
Active	Travelers Personal Insurance Company	705785	Agent - Casualty	3/27/2023
Active	Travelers Personal Insurance Company	705785	Agent - Property	3/27/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Fastabend, Cassandra Jo	1288866	Agent - Casualty	2/6/2024
Pending Replacement	Fastabend, Cassandra Jo	1288866	Agent - Property	2/6/2024
Active	Mcclure, Jeremy William	1159308	Agent - Casualty	9/11/2023
Active	Mcclure, Jeremy William	1159308	Agent - Property	9/11/2023
Active	Pratt, Larry Mitchell	1263040	Agent - Casualty	3/20/2023
Active	Pratt, Larry Mitchell	1263040	Agent - Property	3/20/2023
Denied	Weidner, Courtney Kay	1270780	Agent - Casualty
Denied	Weidner, Courtney Kay	1270780	Agent - Property