DEPARTMENT OF INSURANCE

Affiliations

Name	Chapman Jr, H Keller	DOIID	393769	NAIC NPN	2790143

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	10/20/2008	1/31/2014
Inactive	Non Resident	Agent	General Lines	9/17/1999	8/15/2000
Inactive	Non Resident	Agent	Casualty	10/20/2008	1/31/2014
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	4/27/2009	1/31/2014
* 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	Aegis Security Insurance Company	300492	Agent - Casualty	9/13/2011	3/27/2013
Inactive	Aegis Security Insurance Company	300492	Agent - Property	9/13/2011	3/27/2013
Inactive	American Interstate Insurance Company	301092	Agent - Casualty	4/14/2009	1/17/2011
Inactive	American Interstate Insurance Company	301092	Agent - Property	4/14/2009	1/17/2011
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	8/15/2000	8/31/2005
Inactive	Hartford Casualty Insurance Company	301332	Agent - General Lines	9/17/1999	8/15/2000
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	8/15/2000	8/31/2005
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	8/15/2000	8/31/2005
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	9/17/1999	8/15/2000
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	8/15/2000	8/31/2005
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	8/15/2000	8/31/2005
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - General Lines	9/17/1999	8/15/2000
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	8/15/2000	8/31/2005
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	8/15/2000	8/31/2005
Inactive	Hartford Underwriters Insurance Company	301064	Agent - General Lines	9/17/1999	8/15/2000
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	8/15/2000	8/31/2005
Inactive	Silver Oak Casualty, Inc.	517101	Agent - Casualty	4/14/2009	11/23/2010
Inactive	Silver Oak Casualty, Inc.	517101	Agent - Property	4/14/2009	11/23/2010
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	8/15/2000	8/31/2005
Inactive	Twin City Fire Insurance Company	300721	Agent - General Lines	9/17/1999	8/15/2000
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	8/15/2000	8/31/2005
Inactive	Weston Property & Casualty Insurance Company	676679	Agent - Casualty	10/23/2009	1/31/2014
Inactive	Weston Property & Casualty Insurance Company	676679	Agent - Property	10/23/2009	1/31/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Five Star Ins Services Inc	706826	Agent - Property	6/2/2009	1/31/2014
Inactive	Five Star Ins Services Inc	706826	Agent - Casualty	6/2/2009	1/31/2014
Inactive	Next Generation Underwriters, Inc.	546477	Agent - Property	4/15/2002	8/31/2005
Inactive	Next Generation Underwriters, Inc.	546477	Agent - Casualty	4/15/2002	8/31/2005