DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Grim, Christopher M	DOIID	1318095	NAIC NPN	18826928

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	1/8/2024		4/30/2026
Active	Non Resident	Agent	Casualty	1/8/2024		4/30/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	3/26/2024		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	Nationwide Mutual Insurance Company	301749	Agent - Casualty	5/22/2024
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	5/22/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	NBS Insurance Agency Inc	515576	Agent - Casualty	5/22/2024
Active	NBS Insurance Agency Inc	515576	Agent - Property	5/22/2024
Active	NBS Insurance Agency Inc	515576	Surplus Lines Broker - Not Applicable	4/3/2024