DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Chamberlain, Erin	DOIID	1275308	NAIC NPN	19062342

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	5/23/2023		7/31/2026
Active	Non Resident	Agent	Property	5/23/2023		7/31/2026
* 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	05/15/2024	07/31/2024	06/17/2024	06/17/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Farmers Insurance Exchange	300336	Agent - Casualty	6/23/2023
Active	Farmers Insurance Exchange	300336	Agent - Property	6/23/2023
Active	Midvale Indemnity Company	300292	Agent - Casualty	7/10/2023
Active	Midvale Indemnity Company	300292	Agent - Property	7/10/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Fx Insurance Agency, LLC	646184	Agent - Casualty	6/23/2023
Active	Fx Insurance Agency, LLC	646184	Agent - Property	6/23/2023
Active	Kraft Lake Insurance Agency, Inc.	658511	Agent - Casualty	6/23/2023
Active	Kraft Lake Insurance Agency, Inc.	658511	Agent - Property	6/23/2023