DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Chasin, Jonathan P	DOIID	542808	NAIC NPN	3364152

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	12/17/2001	12/31/2006
Inactive	Non Resident	Agent	Health	12/17/2001	12/31/2006
* 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	Anthem Life Insurance Company	301209	Agent - Health	2/4/2002	12/31/2006
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/4/2002	12/31/2006
Inactive	C.M. Life Insurance Company	301335	Agent - Health	5/15/2006	7/26/2006
Inactive	C.M. Life Insurance Company	301335	Agent - Life	5/15/2006	7/26/2006
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	5/15/2006	7/26/2006
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	5/15/2006	7/26/2006
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Health	12/17/2001	2/13/2006
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Life	12/17/2001	2/13/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	2/4/2002	12/31/2006
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	2/4/2002	12/31/2006