DEPARTMENT OF INSURANCE

Affiliations

Name	Chubb Ins Solutions Agency Inc	DOIID	514854	NAIC NPN	661267

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Denied	Non Resident	Agent	Life
Inactive	Non Resident	Agent	Property	10/29/2001	5/2/2017
Inactive	Non Resident	Agent	Health	3/11/2010	5/2/2017
Inactive	Non Resident	Agent	Casualty	10/29/2001	5/2/2017
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	6/25/2013	5/2/2017
* 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	ACE American Insurance Company	300625	Agent - Casualty	1/15/2016	5/2/2017
Inactive	ACE American Insurance Company	300625	Agent - Health	6/15/2016	5/2/2017
Inactive	ACE American Insurance Company	300625	Agent - Property	1/15/2016	5/2/2017
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	1/15/2016	5/2/2017
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Property	1/15/2016	5/2/2017
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	1/15/2016	5/2/2017
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Health	6/15/2016	5/2/2017
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	1/15/2016	5/2/2017
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	1/15/2016	5/2/2017
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	1/15/2016	5/2/2017
Inactive	Chubb Indemnity Insurance Company	300438	Agent - Casualty	11/14/2001	5/2/2017
Inactive	Chubb Indemnity Insurance Company	300438	Agent - Property	11/14/2001	5/2/2017
Inactive	Chubb National Insurance Company	301392	Agent - Casualty	11/14/2001	5/2/2017
Inactive	Chubb National Insurance Company	301392	Agent - Property	11/14/2001	5/2/2017
Inactive	Federal Insurance Company	301144	Agent - Casualty	10/29/2001	5/2/2017
Inactive	Federal Insurance Company	301144	Agent - Health	12/4/2015	5/2/2017
Inactive	Federal Insurance Company	301144	Agent - Property	10/29/2001	5/2/2017
Inactive	Great Northern Insurance Company	301107	Agent - Casualty	11/14/2001	5/2/2017
Inactive	Great Northern Insurance Company	301107	Agent - Property	11/14/2001	5/2/2017
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	1/15/2016	5/2/2017
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	1/15/2016	5/2/2017
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	1/15/2016	5/2/2017
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	1/15/2016	5/2/2017
Inactive	Pacific Indemnity Company	301610	Agent - Casualty	11/14/2001	5/2/2017
Inactive	Pacific Indemnity Company	301610	Agent - Property	11/14/2001	5/2/2017
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	3/24/2004	5/2/2017
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	3/24/2004	5/2/2017
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	6/26/2003	12/9/2013
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	6/26/2003	12/9/2013
Inactive	Vigilant Insurance Company	301143	Agent - Casualty	11/14/2001	5/2/2017
Inactive	Vigilant Insurance Company	301143	Agent - Property	11/14/2001	5/2/2017
Inactive	Westchester Fire Insurance Company	300990	Agent - Casualty	1/15/2016	5/2/2017
Inactive	Westchester Fire Insurance Company	300990	Agent - Property	1/15/2016	5/2/2017

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Beam, Debbie Lynn	520865	Agent - Casualty	3/3/2003	6/30/2011
Inactive	Damato, Ava Magdalene	519390	Agent - Casualty	3/3/2003	7/16/2003
Denied	Fallon, Dennis J	916046	Agent - Casualty
Denied	Fallon, Dennis J	916046	Agent - Property
Inactive	Fatzinger, Bonnie L.	518687	Agent - Property	3/3/2003	3/1/2005
Inactive	Fernandes, Maria G	349613	Agent - Casualty	10/29/2001	7/31/2006
Inactive	Fernandes, Maria G	349613	Agent - Property	10/29/2001	7/31/2006
Inactive	French, Linda Jean	518677	Agent - Property	3/3/2003	6/30/2009
Inactive	Krause, Jeffrey Scott	518686	Agent - Property	3/3/2003	7/16/2003
Inactive	Maliko, Suzanna	381290	Agent - Casualty	3/3/2003	9/7/2016
Inactive	Maliko, Suzanna	381290	Agent - Property	3/3/2003	9/7/2016
Inactive	Mastridge, Lauren	503716	Agent - Casualty	3/3/2003	1/31/2012
Inactive	Mastridge, Lauren	503716	Agent - Property	3/3/2003	1/31/2012
Inactive	Moreen, Kathleen Erin	518681	Agent - Casualty	3/3/2003	3/7/2011
Inactive	Morrissette, Paul	811994	Surplus Lines Broker - Not Applicable	6/25/2013	5/2/2017
Inactive	Pulliam, Jeffrey L	381288	Agent - Casualty	10/29/2001	7/10/2003
Inactive	Pulliam, Jeffrey L	381288	Agent - Property	10/29/2001	7/10/2003
Denied	Sarma, Hemant K	824783	Agent - Casualty
Denied	Sarma, Hemant K	824783	Agent - Property
Inactive	Sarma, Hemant K	824783	Surplus Lines Broker - Not Applicable	11/27/2013	3/28/2016
Inactive	Stewart, Karin J	513304	Agent - Casualty	11/15/2004	5/2/2017
Inactive	Stewart, Karin J	513304	Agent - Health	3/11/2010	5/2/2017
Inactive	Stewart, Karin J	513304	Agent - Property	11/15/2004	5/2/2017
Inactive	Szynalski, Barbara Marie	513467	Agent - Property	3/3/2003	6/30/2009
Inactive	Tirrell, Barbara J	369268	Agent - Casualty	3/3/2003	12/31/2005
Inactive	Tirrell, Barbara J	369268	Agent - Property	3/3/2003	12/31/2005
Inactive	Vinicombe, Michele L.	520867	Agent - Property	3/3/2003	7/16/2003