DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Chappelle Insurance Service Inc.	DOIID	401004	NAIC NPN	7222829

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	General Lines	4/30/1986	3/31/1998
* 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	Hartford Fire Insurance Company	300628	Agent - General Lines	4/30/1986	3/31/1998

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Daniel, Mark Forrest	303052	Agent - General Lines	5/1/1986	3/31/1998
Inactive	Houk, Charles Allen	329412	Agent - General Lines	4/30/1986	3/31/1998