DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Chickering Claims Administrators Inc	DOIID	513568	NAIC NPN	2014689

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	4/1/2008	12/31/2014
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Chicos, Frederick Harris	515150	Administrator - Not Applicable	11/14/2000	11/30/2006
Inactive	Chicos, Kenneth David	513570	Administrator - Not Applicable	11/14/2000	3/31/2004
Inactive	Grenolds, Dale S	569055	Administrator - Not Applicable	4/1/2008	1/31/2012
Inactive	Nilsen, Scott G	698408	Administrator - Not Applicable	10/24/2011	3/11/2016