DEPARTMENT OF INSURANCE

Affiliations

Name	Bokelberg, Chanelle	DOIID	1328904	NAIC NPN	8610986

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Surplus Lines Broker	Not Applicable	3/11/2024		1/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Risk Placement Services Inc	509419	Surplus Lines Broker - Not Applicable	9/27/2024