DEPARTMENT OF INSURANCE

Affiliations

Name	Chandler, James Thomas	DOIID	323702	NAIC NPN	3102325

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	4/27/1972	6/1/2007
Inactive	Resident	Agent	Casualty	8/15/2000	6/1/2007
Inactive	Resident	Agent	Property	8/15/2000	6/1/2007
Inactive	Resident	Agent	General Lines	10/18/1971	8/15/2000
Inactive	Resident	Agent	Health	4/27/1972	6/1/2007
AFFIDAVIT ON FILE
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Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACE American Insurance Company	300625	Agent - General Lines	5/11/1990	9/10/1996
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - General Lines	5/11/1990	9/10/1996
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - General Lines	5/11/1990	9/10/1996
Inactive	AXIS Insurance Company	301290	Agent - Casualty	8/15/2000	12/22/2004
Inactive	AXIS Insurance Company	301290	Agent - General Lines	6/25/1982	8/15/2000
Inactive	AXIS Insurance Company	301290	Agent - Property	8/15/2000	12/22/2004
Inactive	American Economy Insurance Company	300315	Agent - General Lines	6/15/1978	3/31/1998
Inactive	American States Insurance Company	301230	Agent - General Lines	8/28/1978	3/31/1998
Inactive	American States Life Insurance Company	301884	Agent - Health	6/15/1978	11/26/2001
Inactive	American States Life Insurance Company	301884	Agent - Life	6/15/1978	11/26/2001
Inactive	American States Preferred Insurance Company	300609	Agent - General Lines	9/22/1988	3/31/1998
Inactive	Bankers Standard Insurance Company	301620	Agent - General Lines	10/18/1994	9/10/1996
Inactive	Century Indemnity Company	301310	Agent - General Lines	5/11/1990	9/10/1996
Inactive	Clarendon National Insurance Company	300843	Agent - Casualty	8/15/2000	6/1/2007
Inactive	Clarendon National Insurance Company	300843	Agent - General Lines	3/3/1999	8/15/2000
Inactive	Clarendon National Insurance Company	300843	Agent - Property	8/15/2000	6/1/2007
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	8/15/2000	5/9/2005
Inactive	Fireman's Fund Insurance Company	301423	Agent - General Lines	10/18/1971	8/15/2000
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	8/15/2000	5/9/2005
Inactive	Guarantee Life Insurance Company	301560	Agent - Health	4/27/1972	5/6/1996
Inactive	Guarantee Life Insurance Company	301560	Agent - Life	4/27/1972	5/6/1996
Inactive	Indemnity Insurance Company of North America	301760	Agent - General Lines	5/11/1990	9/10/1996
Inactive	Insurance Company of North America	300226	Agent - General Lines	5/11/1990	9/10/1996
Inactive	National Surety Corporation	300087	Agent - Casualty	8/15/2000	5/9/2005
Inactive	National Surety Corporation	300087	Agent - General Lines	4/1/1973	8/15/2000
Inactive	National Surety Corporation	300087	Agent - Property	8/15/2000	5/9/2005
Inactive	Ohio Farmers Insurance Company	301667	Agent - General Lines	3/3/1972	2/21/1997
Inactive	Pacific Employers Insurance Company	301753	Agent - General Lines	5/11/1990	9/10/1996
Inactive	Pie Insurance Company (The)	300514	Agent - Casualty	8/15/2000	5/9/2005
Inactive	Pie Insurance Company (The)	300514	Agent - General Lines	10/18/1971	8/15/2000
Inactive	Pie Insurance Company (The)	300514	Agent - Property	8/15/2000	5/9/2005
Inactive	Praetorian Insurance Company	301021	Agent - Casualty	3/27/2006	6/1/2007
Inactive	Praetorian Insurance Company	301021	Agent - Property	3/27/2006	6/1/2007
Inactive	Principal Life Insurance Company	300129	Agent - Health	12/5/1990	6/1/2007
Inactive	Principal Life Insurance Company	300129	Agent - Life	12/5/1990	6/1/2007
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	2/27/1996	11/4/2003
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	2/27/1996	11/4/2003
Inactive	Reliance Insurance Company	300785	Agent - General Lines	3/30/1993	3/31/1996
Inactive	State Automobile Mutual Insurance Company	301824	Agent - General Lines	3/26/1991	6/16/1997
Inactive	Symetra Life Insurance Company	301691	Agent - Health	11/1/1998	11/26/2001
Inactive	Symetra Life Insurance Company	301691	Agent - Life	11/1/1998	11/26/2001
Inactive	WCF Select Insurance Company	301898	Agent - Casualty	8/15/2000	5/9/2005
Inactive	WCF Select Insurance Company	301898	Agent - General Lines	10/18/1971	8/15/2000
Inactive	WCF Select Insurance Company	301898	Agent - Property	8/15/2000	5/9/2005
Inactive	Westfield Insurance Company	301950	Agent - General Lines	3/3/1972	2/21/1997
Inactive	Westfield National Insurance Company	301036	Agent - General Lines	6/5/1985	2/21/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Heartland Financial Services, Inc.	399820	Agent - Life	3/27/1991	4/18/1996
Inactive	Heartland Financial Services, Inc.	399820	Agent - Health	3/27/1991	4/18/1996
Inactive	Heartland Insurance Agency Inc.	398498	Agent - Life	10/23/1992	4/18/1996
Inactive	Heartland Insurance Agency Inc.	398498	Agent - Health	10/23/1992	4/18/1996
Inactive	Heartland Insurance Agency Inc.	398498	Agent - General Lines	10/23/1992	4/18/1996
Inactive	JTC Inc.	399213	Agent - Life	8/29/1991	5/31/2003
Inactive	JTC Inc.	399213	Agent - Health	8/29/1991	5/31/2003
Inactive	JTC Inc.	399213	Agent - General Lines	8/29/1991	8/15/2000
Inactive	JTC Inc.	399213	Agent - Property	8/15/2000	5/31/2003
Inactive	JTC Inc.	399213	Agent - Casualty	8/15/2000	5/31/2003
Inactive	Midwest Group Marketing Inc.	399880	Agent - General Lines	2/8/1996	8/15/2000
Inactive	Midwest Group Marketing Inc.	399880	Agent - Property	8/15/2000	3/31/2007
Inactive	Midwest Group Marketing Inc.	399880	Agent - Casualty	8/15/2000	3/31/2007
Inactive	Midwestern Insurance Alliance Inc.	401257	Agent - Property	2/20/2004	6/1/2007
Inactive	Midwestern Insurance Alliance Inc.	401257	Agent - Casualty	2/20/2004	6/1/2007