DEPARTMENT OF INSURANCE

Affiliations

Name	Chamber Insurance Agency Services LLC DBA : Southeast Insurance Associates, Southeast Insurance Associates	DOIID	521229	NAIC NPN	3692318

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	2/9/2023		3/31/2025
Active	Non Resident	Agent	Property	2/9/2023		3/31/2025
Inactive	Non Resident	Agent	Health	9/22/2006	5/23/2022
Inactive	Non Resident	Agent	Life	9/22/2006	5/23/2022
Active	Non Resident	Surplus Lines Broker	Not Applicable	9/11/2006		3/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025
Surplus Lines Broker	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	21st Century North America Insurance Company	300884	Agent - Casualty	11/26/2001	9/17/2011
Inactive	21st Century North America Insurance Company	300884	Agent - Property	11/26/2001	9/17/2011
Inactive	AIG Assurance Company	300897	Agent - Casualty	2/21/2001	9/28/2022
Inactive	AIG Assurance Company	300897	Agent - Property	2/21/2001	9/28/2022
Inactive	AIG Property Casualty Company	300621	Agent - Casualty	2/21/2001	9/28/2022
Inactive	AIG Property Casualty Company	300621	Agent - Property	2/21/2001	9/28/2022
Inactive	AIU Insurance Company	300729	Agent - Casualty	2/21/2001	9/28/2022
Inactive	AIU Insurance Company	300729	Agent - Property	2/21/2001	9/28/2022
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	8/30/2004	11/14/2016
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	8/30/2004	11/14/2016
Inactive	American Compensation Insurance Company	807550	Agent - Casualty	6/12/2017	9/28/2022
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	2/21/2001	5/24/2004
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	2/21/2001	5/24/2004
Inactive	American General Life and Accident Insurance Company	301362	Agent - Health	12/4/2001	5/15/2003
Inactive	American General Life and Accident Insurance Company	301362	Agent - Life	12/4/2001	5/15/2003
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	3/16/2009	9/28/2022
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Property	3/16/2009	9/28/2022
Inactive	American Home Assurance Company	300246	Agent - Casualty	2/14/2001	9/28/2022
Inactive	American Home Assurance Company	300246	Agent - Property	2/14/2001	9/28/2022
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	3/16/2009	9/28/2022
Inactive	American Zurich Insurance Company	300592	Agent - Property	3/16/2009	9/28/2022
Inactive	Audubon Insurance Company	301767	Agent - Casualty	6/24/2002	10/7/2010
Inactive	Audubon Insurance Company	301767	Agent - Property	6/24/2002	10/7/2010
Inactive	Bloomington Compensation Insurance Company	807534	Agent - Casualty	6/12/2017	9/28/2022
Inactive	Commerce and Industry Insurance Company	300881	Agent - Casualty	2/21/2001	9/28/2022
Inactive	Commerce and Industry Insurance Company	300881	Agent - Property	2/21/2001	9/28/2022
Inactive	Continental Casualty Company	301019	Agent - Casualty	8/30/2004	9/28/2022
Inactive	Continental Casualty Company	301019	Agent - Property	8/30/2004	9/28/2022
Inactive	Continental Insurance Company (The)	301242	Agent - Casualty	2/24/2006	11/14/2016
Inactive	Continental Insurance Company (The)	301242	Agent - Property	2/24/2006	11/14/2016
Inactive	Employers Assurance Company	300120	Agent - Casualty	3/21/2014	6/9/2021
Inactive	Employers Compensation Insurance Company	797885	Agent - Casualty	8/6/2018	6/9/2021
Inactive	Employers Preferred Insurance Company	520656	Agent - Casualty	3/21/2014	6/9/2021
Inactive	Granite State Insurance Company	300818	Agent - Casualty	2/21/2001	9/28/2022
Inactive	Granite State Insurance Company	300818	Agent - Property	2/21/2001	9/28/2022
Inactive	Great Midwest Insurance Company	301418	Agent - Casualty	8/21/2014	9/28/2022
Inactive	Great Midwest Insurance Company	301418	Agent - Property	8/21/2014	9/28/2022
Inactive	Greenwich Insurance Company	301754	Agent - Casualty	4/23/2015	10/28/2015
Inactive	Greenwich Insurance Company	301754	Agent - Property	4/23/2015	10/28/2015
Inactive	Hanover Insurance Company (The)	300508	Agent - Casualty	3/5/2014	9/28/2022
Inactive	Hanover Insurance Company (The)	300508	Agent - Property	3/5/2014	9/28/2022
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	3/7/2005	11/7/2008
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	3/7/2005	11/7/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	3/7/2005	11/7/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	3/7/2005	11/7/2008
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	3/7/2005	11/7/2008
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	3/7/2005	11/7/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	3/7/2005	11/7/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	3/7/2005	11/7/2008
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	10/24/2006	5/23/2022
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	10/24/2006	5/23/2022
Inactive	Hartford Steam Boiler Inspection and Insurance Company	300799	Agent - Casualty	3/10/2003	9/28/2022
Inactive	Hartford Steam Boiler Inspection and Insurance Company	300799	Agent - Property	3/10/2003	9/28/2022
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	3/7/2005	11/7/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	3/7/2005	11/7/2008
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	2/21/2001	3/31/2002
Inactive	Illinois National Insurance Company	301367	Agent - Property	2/21/2001	3/31/2002
Inactive	Imperium Insurance Company	300804	Agent - Casualty	9/9/2014	9/28/2022
Inactive	Imperium Insurance Company	300804	Agent - Property	9/9/2014	9/28/2022
Inactive	Insurance Company of the State of Pennsylvania	300807	Agent - Casualty	2/21/2001	9/28/2022
Inactive	Insurance Company of the State of Pennsylvania	300807	Agent - Property	2/21/2001	9/28/2022
Inactive	Ironshore Indemnity Inc.	300088	Agent - Casualty	3/24/2020	9/28/2022
Inactive	Ironshore Indemnity Inc.	300088	Agent - Property	3/24/2020	9/28/2022
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Casualty	8/30/2004	11/14/2016
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Property	8/30/2004	11/14/2016
Inactive	National Union Fire Insurance Company of Louisiana	301132	Agent - Casualty	6/24/2002	10/7/2010
Inactive	National Union Fire Insurance Company of Louisiana	301132	Agent - Property	6/24/2002	10/7/2010
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	2/21/2001	9/28/2022
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	2/21/2001	9/28/2022
Inactive	New Hampshire Insurance Company	301670	Agent - Casualty	2/21/2001	9/28/2022
Inactive	New Hampshire Insurance Company	301670	Agent - Property	2/21/2001	9/28/2022
Inactive	Plaza Insurance Company	300748	Agent - Casualty	6/12/2017	9/28/2022
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	7/11/2008	11/5/2009
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	7/11/2008	11/5/2009
Inactive	Transcontinental Insurance Company	301731	Agent - Casualty	8/30/2004	9/26/2007
Inactive	Transcontinental Insurance Company	301731	Agent - Property	8/30/2004	9/26/2007
Inactive	Transportation Insurance Company	301575	Agent - Casualty	8/30/2004	11/14/2016
Inactive	Transportation Insurance Company	301575	Agent - Property	8/30/2004	11/14/2016
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	3/7/2005	11/7/2008
Inactive	Trumbull Insurance Company	300242	Agent - Property	3/7/2005	11/7/2008
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	3/7/2005	11/7/2008
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	3/7/2005	11/7/2008
Inactive	Valley Forge Insurance Company	301052	Agent - Casualty	8/30/2004	11/14/2016
Inactive	Valley Forge Insurance Company	301052	Agent - Property	8/30/2004	11/14/2016
Inactive	Westchester Fire Insurance Company	300990	Agent - Casualty	4/24/2017	9/28/2022
Inactive	Westchester Fire Insurance Company	300990	Agent - Property	4/24/2017	9/28/2022
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	3/16/2009	9/28/2022
Inactive	Zurich American Insurance Company	301121	Agent - Property	3/16/2009	9/28/2022
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	3/16/2009	9/28/2022
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Property	3/16/2009	9/28/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Andersen, Michael J	976340	Agent - Casualty	2/16/2018	9/28/2022
Inactive	Andersen, Michael J	976340	Agent - Property	2/16/2018	9/28/2022
Inactive	Andersen, Michael J	976340	Surplus Lines Broker - Not Applicable	11/28/2017	10/26/2022
Denied	Ferreira, John P	1217170	Agent - Casualty
Denied	Ferreira, John P	1217170	Agent - Property
Inactive	Ferreira, John P	1217170	Surplus Lines Broker - Not Applicable	9/28/2022	2/7/2023
Inactive	Foster, Donald Wakeman	338960	Agent - Casualty	6/14/2004	9/20/2005
Inactive	Foster, Donald Wakeman	338960	Agent - Property	6/14/2004	9/20/2005
Inactive	Frattarola, Robert M	796681	Agent - Health	11/28/2017	5/23/2022
Inactive	Frattarola, Robert M	796681	Agent - Life	11/28/2017	5/23/2022
Inactive	Obrien, John L	598913	Agent - Health	9/24/2006	2/26/2013
Inactive	Obrien, John L	598913	Agent - Life	9/24/2006	2/26/2013
Inactive	Pattwell, Sean M	593562	Agent - Casualty	9/20/2005	4/12/2018
Inactive	Pattwell, Sean M	593562	Agent - Health	9/24/2006	4/12/2018
Inactive	Pattwell, Sean M	593562	Agent - Life	9/24/2006	4/12/2018
Inactive	Pattwell, Sean M	593562	Agent - Property	9/20/2005	4/12/2018
Inactive	Pattwell, Sean M	593562	Surplus Lines Broker - Not Applicable	9/11/2006	1/31/2022
Denied	Poore, Jerry R	327888	Agent - Health
Inactive	Poore, Jerry R	327888	Agent - Life	2/21/2001	4/21/2003
Inactive	Rhodunda, Robert Mark	344743	Agent - Casualty	8/15/2000	4/21/2003
Inactive	Rhodunda, Robert Mark	344743	Agent - Property	8/15/2000	4/21/2003
Active	Roth, Robert D	1218414	Agent - Casualty	2/9/2023
Active	Roth, Robert D	1218414	Agent - Property	2/9/2023
Active	Roth, Robert D	1218414	Surplus Lines Broker - Not Applicable	9/28/2022
Inactive	Sherlock, John Brian	522379	Agent - Casualty	4/21/2003	9/20/2005
Inactive	Sherlock, John Brian	522379	Agent - Property	4/21/2003	9/20/2005
Denied	Testa, Roger P	375000	Agent - Casualty
Denied	Testa, Roger P	375000	Agent - Property
Inactive	Young, James Albert	385361	Agent - Casualty	9/20/2005	4/12/2018
Denied	Young, James Albert	385361	Agent - Health
Denied	Young, James Albert	385361	Agent - Life
Inactive	Young, James Albert	385361	Agent - Property	9/20/2005	4/12/2018