DEPARTMENT OF INSURANCE

Affiliations

Name	Chevalier, David Mathew	DOIID	331810	NAIC NPN	229261

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	9/22/2011	4/30/2015
Inactive	Non Resident	Agent	Life	9/22/2011	4/30/2015
Inactive	Non Resident	Agent	General Lines	1/5/1996	8/15/2000
Inactive	Non Resident	Agent	Casualty	9/22/2011	4/30/2015
Inactive	Non Resident	Agent	Health	9/22/2011	4/30/2015
* 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	American Fire and Casualty Company	300567	Agent - Casualty	11/14/2014	4/30/2015
Inactive	American Fire and Casualty Company	300567	Agent - Property	11/14/2014	4/30/2015
Inactive	Employers Insurance Company of Wausau	301813	Agent - Casualty	8/15/2000	2/7/2003
Inactive	Employers Insurance Company of Wausau	301813	Agent - General Lines	1/5/1996	8/15/2000
Inactive	Employers Insurance Company of Wausau	301813	Agent - Property	8/15/2000	2/7/2003
Inactive	Lincoln Life Assurance Company of Boston	301915	Agent - Health	5/7/1999	6/30/2003
Inactive	Lincoln Life Assurance Company of Boston	301915	Agent - Life	5/7/1999	2/7/2003
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	1/5/1996	6/30/2003
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	1/5/1996	6/30/2003
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	11/14/2014	4/30/2015
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	11/14/2014	4/30/2015
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	11/14/2014	4/30/2015
Inactive	Ohio Security Insurance Company	300622	Agent - Property	11/14/2014	4/30/2015
Inactive	Wausau Business Insurance Company	301476	Agent - Casualty	8/15/2000	2/7/2003
Inactive	Wausau Business Insurance Company	301476	Agent - General Lines	1/31/1996	8/15/2000
Inactive	Wausau Business Insurance Company	301476	Agent - Property	8/15/2000	2/7/2003
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Casualty	8/15/2000	2/7/2003
Inactive	Wausau Underwriters Insurance Company	301105	Agent - General Lines	1/31/1996	8/15/2000
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Property	8/15/2000	2/7/2003
Inactive	West American Insurance Company	301112	Agent - Casualty	11/14/2014	4/30/2015
Inactive	West American Insurance Company	301112	Agent - Property	11/14/2014	4/30/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Companies Agency of Kentucky Inc.	400449	Agent - Life	3/6/1997	6/30/2003
Inactive	Companies Agency of Kentucky Inc.	400449	Agent - Health	3/6/1997	6/30/2003