DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Chapman, Mary Ann	DOIID	517574	NAIC NPN	3660331

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	11/8/2000	1/2/2008
Inactive	Non Resident	Agent	Health	11/8/2000	1/2/2008
Inactive	Non Resident	Agent	Property	7/18/2003	1/2/2008
Inactive	Non Resident	Agent	Casualty	7/18/2003	1/2/2008
* 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 Bankers Insurance Company of Florida	300360	Agent - Casualty	9/8/2004	9/7/2007
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Property	9/8/2004	9/7/2007
Inactive	American Public Life Insurance Company	300252	Agent - Health	1/11/2007	10/25/2007
Inactive	American Public Life Insurance Company	300252	Agent - Life	1/11/2007	10/25/2007
Inactive	Centre Insurance Company	301599	Agent - Casualty	1/16/2004	12/1/2005
Inactive	Centre Insurance Company	301599	Agent - Property	1/16/2004	12/1/2005
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - Casualty	4/7/2004	10/3/2007
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - Property	4/7/2004	10/3/2007
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	12/2/2003	10/22/2007
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	12/2/2003	10/22/2007
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	11/8/2000	12/4/2002
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	11/8/2000	12/4/2002
Inactive	United World Life Insurance Company	300532	Agent - Health	8/22/2007	1/2/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Financial Insurance Services, Inc.	514710	Agent - Life	10/22/2001	9/20/2002
Inactive	Financial Insurance Services, Inc.	514710	Agent - Health	10/22/2001	9/20/2002
Inactive	QBE First Enterprises LLC	610980	Agent - Life	9/28/2007	10/25/2007
Inactive	QBE First Enterprises LLC	610980	Agent - Health	9/28/2007	12/4/2007
Inactive	QBE First Enterprises LLC	610980	Agent - Casualty	10/16/2006	10/22/2007
Inactive	QBE First Enterprises LLC	610980	Agent - Property	10/16/2006	10/22/2007