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		3/31/2027
Active	Non Resident	Agent	Property	2/9/2023		3/31/2027
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		3/31/2027
* 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	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