DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Chambers-Hicks, Mildred K	DOIID	502610	NAIC NPN	7211177

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	7/28/2022		5/31/2025
Active	Resident	Agent	Casualty	7/28/2022		5/31/2025
Active	Resident	Agent	Property	7/28/2022		5/31/2025
Active	Resident	Agent	Life	7/28/2022		5/31/2025
Inactive	Resident	Agent	General Lines	2/4/2000	8/15/2000
* 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	4/27/2005	1/16/2006
Inactive	American Fire and Casualty Company	300567	Agent - Property	4/27/2005	1/16/2006
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	5/15/2005	1/16/2006
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	5/15/2005	1/16/2006
Inactive	Grange Insurance Company	300234	Agent - Casualty	5/15/2005	1/16/2006
Inactive	Grange Insurance Company	300234	Agent - Property	5/15/2005	1/16/2006
Inactive	Grange Life Insurance Company	300128	Agent - Health	5/15/2005	1/16/2006
Inactive	Grange Life Insurance Company	300128	Agent - Life	5/15/2005	1/16/2006
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	4/27/2005	1/16/2006
Inactive	Ohio Casualty Insurance Company	301492	Agent - General Lines	2/4/2000	8/15/2000
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	4/27/2005	1/16/2006
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	4/27/2005	1/16/2006
Inactive	Ohio Security Insurance Company	300622	Agent - Property	4/27/2005	1/16/2006
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	5/15/2005	1/16/2006
Inactive	Trustgard Insurance Company	300104	Agent - Property	5/15/2005	1/16/2006
Inactive	West American Insurance Company	301112	Agent - Casualty	4/27/2005	1/16/2006
Inactive	West American Insurance Company	301112	Agent - Property	4/27/2005	1/16/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Buckley & Company Inc.	400037	Agent - Property	6/3/2005	1/16/2006
Inactive	Buckley & Company Inc.	400037	Agent - Casualty	6/3/2005	1/16/2006
Inactive	Buckley & Company Inc.	400037	Agent - Health	6/3/2005	1/16/2006
Inactive	Buckley & Company Inc.	400037	Agent - Life	6/3/2005	1/16/2006