DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Chandler, Kelly Rena	DOIID	328357	NAIC NPN	636127

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	8/15/2000	6/30/2022
Inactive	Non Resident	Agent	General Lines	2/26/1998	8/15/2000
Inactive	Non Resident	Agent	Property	8/15/2000	6/30/2022
* 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
Inactive	21st Century North America Insurance Company	300884	Agent - Casualty	4/19/2016	2/10/2017
Inactive	21st Century North America Insurance Company	300884	Agent - General Lines	2/26/1998	8/15/2000
Inactive	21st Century North America Insurance Company	300884	Agent - Property	4/19/2016	2/10/2017
Inactive	American Home Assurance Company	300246	Agent - Casualty	8/15/2000	9/15/2009
Inactive	American Home Assurance Company	300246	Agent - General Lines	2/26/1998	8/15/2000
Inactive	American Home Assurance Company	300246	Agent - Property	8/15/2000	9/15/2009
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	7/25/2016	6/24/2021
Inactive	Bristol West Insurance Company	301655	Agent - Property	7/25/2016	6/24/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Foremost Express Insurance Agency Inc.	515334	Agent - Property	12/18/2017	12/31/2018
Inactive	Foremost Express Insurance Agency Inc.	515334	Agent - Casualty	12/18/2017	12/31/2018
Inactive	Fx Insurance Agency, LLC	646184	Agent - Property	12/31/2018	6/24/2021
Inactive	Fx Insurance Agency, LLC	646184	Agent - Casualty	12/31/2018	6/24/2021