DEPARTMENT OF INSURANCE

Affiliations

Name	Chubb Insurance Solutions Agency Inc.	DOIID	505858	NAIC NPN	3375600

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	9/9/2002		3/31/2026
Active	Non Resident	Agent	Health	7/30/2004		3/31/2026
Active	Non Resident	Agent	Life	10/26/2021		3/31/2026
Active	Non Resident	Agent	Property	9/9/2002		3/31/2026
Inactive	Non Resident	Agent	General Lines	4/7/2000	8/15/2000
Active	Non Resident	Surplus Lines Broker	Not Applicable	1/22/2007		3/31/2026
* 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
Active	ACE American Insurance Company	300625	Agent - Casualty	9/9/2002
Inactive	ACE American Insurance Company	300625	Agent - General Lines	4/7/2000	8/15/2000
Active	ACE American Insurance Company	300625	Agent - Health	8/10/2004
Active	ACE American Insurance Company	300625	Agent - Property	9/9/2002
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	10/15/2002
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - General Lines	5/19/2000	8/15/2000
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Property	10/15/2002
Active	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	10/15/2002
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - General Lines	5/19/2000	8/15/2000
Active	ACE Property and Casualty Insurance Company	300520	Agent - Property	10/15/2002
Inactive	AGCS Marine Insurance Company	300403	Agent - Casualty	5/28/2003	12/15/2005
Inactive	AGCS Marine Insurance Company	300403	Agent - Property	5/28/2003	12/15/2005
Active	Bankers Standard Insurance Company	301620	Agent - Casualty	10/15/2002
Inactive	Bankers Standard Insurance Company	301620	Agent - General Lines	5/18/2000	8/15/2000
Active	Bankers Standard Insurance Company	301620	Agent - Property	10/15/2002
Inactive	Chicago Insurance Company	300295	Agent - Casualty	5/28/2003	12/15/2005
Inactive	Chicago Insurance Company	300295	Agent - Property	5/28/2003	12/15/2005
Active	Chubb Indemnity Insurance Company	300438	Agent - Casualty	2/1/2017
Active	Chubb Indemnity Insurance Company	300438	Agent - Property	2/1/2017
Active	Chubb National Insurance Company	301392	Agent - Casualty	2/1/2017
Active	Chubb National Insurance Company	301392	Agent - Property	2/1/2017
Active	Combined Insurance Company of America	301472	Agent - Life	5/17/2023
Active	Executive Risk Indemnity Inc.	301510	Agent - Casualty	1/31/2017
Active	Federal Insurance Company	301144	Agent - Casualty	2/1/2017
Active	Federal Insurance Company	301144	Agent - Health	2/1/2017
Active	Federal Insurance Company	301144	Agent - Property	2/1/2017
Active	Great Northern Insurance Company	301107	Agent - Casualty	2/1/2017
Active	Great Northern Insurance Company	301107	Agent - Property	2/1/2017
Inactive	Harleysville Mutual Insurance Company	301393	Agent - Casualty	8/18/2010	5/1/2012
Inactive	Harleysville Mutual Insurance Company	301393	Agent - Property	8/18/2010	5/1/2012
Active	Indemnity Insurance Company of North America	301760	Agent - Casualty	10/15/2002
Inactive	Indemnity Insurance Company of North America	301760	Agent - General Lines	5/19/2000	8/15/2000
Active	Indemnity Insurance Company of North America	301760	Agent - Property	10/15/2002
Active	Insurance Company of North America	300226	Agent - Casualty	10/15/2002
Inactive	Insurance Company of North America	300226	Agent - General Lines	5/18/2000	8/15/2000
Active	Insurance Company of North America	300226	Agent - Property	10/15/2002
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	5/1/2012	6/19/2018
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	5/1/2012	6/19/2018
Active	Pacific Employers Insurance Company	301753	Agent - Casualty	10/15/2002
Inactive	Pacific Employers Insurance Company	301753	Agent - General Lines	5/19/2000	8/15/2000
Active	Pacific Employers Insurance Company	301753	Agent - Property	10/15/2002
Active	Pacific Indemnity Company	301610	Agent - Casualty	2/1/2017
Active	Pacific Indemnity Company	301610	Agent - Property	2/1/2017
Active	Penn Millers Insurance Company	301584	Agent - Casualty	7/18/2018
Active	Penn Millers Insurance Company	301584	Agent - Property	7/18/2018
Active	Vigilant Insurance Company	301143	Agent - Casualty	2/1/2017
Active	Vigilant Insurance Company	301143	Agent - Property	2/1/2017
Inactive	Westchester Fire Insurance Company	301414	Agent - Casualty	10/15/2002	1/1/2011
Active	Westchester Fire Insurance Company	300990	Agent - Casualty	1/1/2011
Inactive	Westchester Fire Insurance Company	301414	Agent - Property	10/15/2002	1/1/2011
Active	Westchester Fire Insurance Company	300990	Agent - Property	1/1/2011

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Alcantara, Wendy Maria	712249	Agent - Casualty
Denied	Alcantara, Wendy Maria	712249	Agent - Property
Denied	Beacht, Susan	981186	Agent - Casualty
Denied	Beacht, Susan	981186	Agent - Property
Inactive	Beitler, Donna J	670929	Agent - Casualty	6/26/2017	2/21/2018
Inactive	Beitler, Donna J	670929	Agent - Property	6/26/2017	2/21/2018
Denied	Bibeau, Maureen Davis	1246143	Agent - Casualty
Denied	Bibeau, Maureen Davis	1246143	Agent - Property
Denied	Burger, Justin John	1098763	Agent - Casualty
Denied	Burger, Justin John	1098763	Agent - Property
Inactive	Burke, Heidi A	721667	Agent - Casualty	8/14/2012	3/20/2014
Inactive	Burke, Heidi A	721667	Agent - Health	8/14/2012	3/20/2014
Inactive	Burke, Heidi A	721667	Agent - Property	8/14/2012	3/20/2014
Inactive	Burke, Heidi A	721667	Surplus Lines Broker - Not Applicable	8/14/2012	3/20/2014
Inactive	Crudeli, Donna	645859	Agent - Casualty	1/24/2007	1/17/2011
Inactive	Crudeli, Donna	645859	Agent - Health	1/25/2007	1/17/2011
Inactive	Crudeli, Donna	645859	Agent - Property	1/24/2007	1/17/2011
Inactive	Crudeli, Donna	645859	Surplus Lines Broker - Not Applicable	1/22/2007	2/14/2012
Denied	Dabulis, Eric D	572103	Agent - Casualty
Denied	Dabulis, Eric D	572103	Agent - Property
Inactive	Diesso, Lisa	1107327	Agent - Health	9/7/2022	5/15/2024
Denied	Dippel, Teresa L	1064958	Agent - Casualty
Denied	Dippel, Teresa L	1064958	Agent - Property
Denied	Donerson, Pamela	714971	Agent - Casualty
Denied	Donerson, Pamela	714971	Agent - Health
Denied	Donerson, Pamela	714971	Agent - Property
Inactive	Ellis, Katherine	1050195	Agent - Health	4/12/2023	4/9/2024
Denied	Ellis, Katherine	1050195	Agent - Life
Inactive	Espaillat, Javier Antonio	543763	Agent - Casualty	6/2/2017	3/31/2022
Inactive	Espaillat, Javier Antonio	543763	Agent - Property	6/2/2017	3/31/2022
Denied	Fallon, Dennis J	916046	Agent - Casualty
Denied	Fallon, Dennis J	916046	Agent - Property
Active	Feliciano, Rosa	389136	Agent - Casualty	6/15/2017
Active	Feliciano, Rosa	389136	Agent - Property	6/15/2017
Inactive	Forish, Ralitsa	1001512	Agent - Casualty	2/28/2020	10/10/2023
Inactive	Forish, Ralitsa	1001512	Agent - Property	2/28/2020	10/10/2023
Denied	Geling, Melissa Alota	981270	Agent - Casualty
Denied	Geling, Melissa Alota	981270	Agent - Property
Denied	Gomez, Mine L	981062	Agent - Casualty
Denied	Gomez, Mine L	981062	Agent - Property
Active	Gordon, Joann	687384	Agent - Casualty	2/6/2014
Active	Gordon, Joann	687384	Agent - Property	2/6/2014
Active	Gordon, Joann	687384	Surplus Lines Broker - Not Applicable	2/6/2014
Denied	Gowen, Abbie	1027250	Agent - Casualty
Denied	Gowen, Abbie	1027250	Agent - Property
Pending	Hagedorn, Kyle Brian	1275319	Agent - Casualty
Pending	Hagedorn, Kyle Brian	1275319	Agent - Property
Denied	Hernandez, Gary Hernandez	1314812	Agent - Casualty
Denied	Hernandez, Gary Hernandez	1314812	Agent - Property
Pending	Hone, Rebecca	1275307	Agent - Casualty
Pending	Hone, Rebecca	1275307	Agent - Property
Inactive	Khanhai, Nicole A	545285	Agent - Casualty	8/12/2021	9/11/2023
Inactive	Khanhai, Nicole A	545285	Agent - Health	8/12/2021	9/11/2023
Inactive	Khanhai, Nicole A	545285	Agent - Property	8/12/2021	9/11/2023
Denied	Kitixis, Spyridon	671836	Agent - Casualty
Denied	Kitixis, Spyridon	671836	Agent - Property
Denied	Lacy, Shantell Monique	1216536	Agent - Health
Denied	Lacy, Shantell Monique	1216536	Agent - Life
Inactive	Lamiotte, Rosemary	636979	Agent - Casualty	12/21/2006	3/18/2008
Inactive	Lamiotte, Rosemary	636979	Agent - Health	12/21/2006	3/18/2008
Inactive	Lamiotte, Rosemary	636979	Agent - Property	12/21/2006	3/18/2008
Active	Leander-Kucsan, Allison Kim	734899	Agent - Casualty	6/15/2017
Active	Leander-Kucsan, Allison Kim	734899	Agent - Property	6/15/2017
Inactive	Lee, Pattie Joyner	687379	Agent - Casualty	8/14/2012	7/31/2016
Inactive	Lee, Pattie Joyner	687379	Agent - Property	8/14/2012	7/31/2016
Inactive	Lee, Pattie Joyner	687379	Surplus Lines Broker - Not Applicable	8/14/2012	8/5/2016
Denied	Lewis, Shauna-Kay Terri	1056313	Agent - Casualty
Denied	Lewis, Shauna-Kay Terri	1056313	Agent - Property
Denied	Ly, Kathy	1310205	Agent - Casualty
Denied	Ly, Kathy	1310205	Agent - Property
Denied	Masley, Mandie	1137943	Agent - Casualty
Denied	Masley, Mandie	1137943	Agent - Property
Active	Mays, Karen L	880425	Agent - Casualty	5/10/2017
Active	Mays, Karen L	880425	Agent - Health	5/10/2017
Active	Mays, Karen L	880425	Agent - Property	5/10/2017
Active	Mays, Karen L	880425	Surplus Lines Broker - Not Applicable	5/10/2017
Inactive	Milby, Paul Steven	576539	Agent - Casualty	2/6/2014	8/19/2014
Inactive	Milby, Paul Steven	576539	Agent - Property	2/6/2014	8/19/2014
Inactive	Milby, Paul Steven	576539	Surplus Lines Broker - Not Applicable	2/6/2014	8/19/2014
Active	Morrissette, Paul	811994	Agent - Casualty	7/31/2016
Active	Morrissette, Paul	811994	Agent - Life	10/26/2021
Active	Morrissette, Paul	811994	Agent - Property	7/31/2016
Active	Morrissette, Paul	811994	Surplus Lines Broker - Not Applicable	7/31/2016
Active	Nemeth, Rachael T	672330	Agent - Casualty	6/15/2017
Active	Nemeth, Rachael T	672330	Agent - Property	6/15/2017
Inactive	Pasinski, Constance R	647469	Agent - Casualty	6/15/2017	7/22/2021
Inactive	Pasinski, Constance R	647469	Agent - Property	6/15/2017	7/22/2021
Denied	Pezzano, Robert G	1049804	Agent - Casualty
Denied	Pezzano, Robert G	1049804	Agent - Property
Denied	Phillips, Alisa C	1098765	Agent - Casualty
Denied	Phillips, Alisa C	1098765	Agent - Property
Pending	Powers, Matthew W	1264290	Agent - Casualty
Pending	Powers, Matthew W	1264290	Agent - Property
Denied	Richards, Marinez	981057	Agent - Casualty
Denied	Richards, Marinez	981057	Agent - Property
Active	Rinearson, Emily Jean	995065	Agent - Casualty	6/21/2024
Active	Rinearson, Emily Jean	995065	Agent - Property	6/21/2024
Active	Ring, Jeffrey Allan	851507	Agent - Casualty	7/31/2016
Active	Ring, Jeffrey Allan	851507	Agent - Property	7/31/2016
Active	Ring, Jeffrey Allan	851507	Surplus Lines Broker - Not Applicable	7/31/2016
Denied	Roberts, Mary C	1073714	Agent - Casualty
Denied	Roberts, Mary C	1073714	Agent - Property
Inactive	Rosen, Michael Andrew	630151	Agent - Casualty	6/15/2017	11/22/2017
Inactive	Rosen, Michael Andrew	630151	Agent - Property	6/15/2017	11/22/2017
Denied	Ruth, Zachary Salvatore	981185	Agent - Casualty
Denied	Ruth, Zachary Salvatore	981185	Agent - Property
Inactive	Sanders, Julia P	827704	Agent - Casualty	6/15/2017	7/31/2017
Inactive	Sanders, Julia P	827704	Agent - Property	6/15/2017	7/31/2017
Pending	Saucedo, London	1275259	Agent - Casualty
Pending	Saucedo, London	1275259	Agent - Property
Denied	Severson, Kevin	1096324	Agent - Casualty
Denied	Severson, Kevin	1096324	Agent - Property
Active	Stewart, Karin J	513304	Agent - Casualty	5/10/2017
Active	Stewart, Karin J	513304	Agent - Health	5/10/2017
Active	Stewart, Karin J	513304	Agent - Property	5/10/2017
Pending	Stine, Richard Alexander	1214246	Agent - Casualty
Denied	Stine, Richard Alexander	1214246	Agent - Property
Inactive	Taylor, Jason W	822577	Agent - Casualty	2/6/2014	11/17/2016
Inactive	Taylor, Jason W	822577	Agent - Property	2/6/2014	11/17/2016
Denied	Thomas, Kevin	1314853	Agent - Casualty
Denied	Thomas, Kevin	1314853	Agent - Property
Inactive	Twietmeyer, Philip Warren	516450	Agent - Casualty	9/9/2002	3/7/2024
Inactive	Twietmeyer, Philip Warren	516450	Agent - Health	7/30/2004	3/7/2024
Inactive	Twietmeyer, Philip Warren	516450	Agent - Property	9/9/2002	3/7/2024
Active	Twietmeyer, Philip Warren	516450	Surplus Lines Broker - Not Applicable	1/22/2007
Denied	Vitale, Colleen R	981058	Agent - Casualty
Denied	Vitale, Colleen R	981058	Agent - Property
Inactive	Whooley, Brian Thomas	501969	Agent - Casualty	8/15/2000	6/11/2001
Inactive	Whooley, Brian Thomas	501969	Agent - General Lines	4/7/2000	8/15/2000
Inactive	Whooley, Brian Thomas	501969	Agent - Property	8/15/2000	6/11/2001
Active	Yourston, Michael	1275062	Agent - Casualty	6/21/2024
Active	Yourston, Michael	1275062	Agent - Property	6/21/2024
Denied	Zerbe, John	1246101	Agent - Casualty
Denied	Zerbe, John	1246101	Agent - Property