DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Chavera, Ann Marie De Guadalupe	DOIID	1376573	NAIC NPN	21411220

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	12/13/2024		4/30/2026
Active	Non Resident	Agent	Casualty	12/13/2024		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	Hiscox Insurance Company Inc.	300894	Agent - Casualty	2/18/2025
Active	Hiscox Insurance Company Inc.	300894	Agent - Property	2/18/2025
Active	Midvale Indemnity Company	300292	Agent - Casualty	2/3/2025
Active	Midvale Indemnity Company	300292	Agent - Property	2/3/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Geico Insurance Agency, LLC	558517	Agent - Casualty	2/3/2025
Active	Geico Insurance Agency, LLC	558517	Agent - Property	2/3/2025