DEPARTMENT OF INSURANCE

Affiliations

Name	Scott, Chad Tindall	DOIID	550333	NAIC NPN	7079456

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	7/7/2008	2/28/2022
Inactive	Non Resident	Agent	Property	7/7/2008	2/28/2022
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	2/1/2017	8/18/2021
* 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 Family Home Insurance Company	301817	Agent - Casualty	4/27/2009	1/16/2020
Inactive	American Family Home Insurance Company	301817	Agent - Property	4/27/2009	1/16/2020
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	4/27/2009	1/16/2020
Inactive	American Modern Home Insurance Company	300791	Agent - Property	4/27/2009	1/16/2020
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	4/27/2009	1/16/2020
Inactive	American Modern Select Insurance Company	581481	Agent - Property	4/27/2009	1/16/2020
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	12/2/2008	12/27/2016
Inactive	Dairyland Insurance Company	301370	Agent - Property	12/2/2008	12/27/2016
Inactive	First American Property & Casualty Insurance Company	300331	Agent - Casualty	6/4/2002	5/13/2005
Inactive	First American Property & Casualty Insurance Company	300331	Agent - Property	6/4/2002	5/13/2005
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	5/1/2010	3/3/2017
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	5/1/2010	3/3/2017
Inactive	Grange Insurance Company	300234	Agent - Casualty	5/1/2010	3/3/2017
Inactive	Grange Insurance Company	300234	Agent - Property	5/1/2010	3/3/2017
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	5/1/2010	3/3/2017
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	5/1/2010	3/3/2017
Inactive	Great American Assurance Company	300327	Agent - Casualty	1/19/2011	7/31/2019
Inactive	Great American Assurance Company	300327	Agent - Property	1/19/2011	7/31/2019
Inactive	Great American Insurance Company	301586	Agent - Casualty	1/19/2011	7/31/2019
Inactive	Great American Insurance Company	301586	Agent - Property	1/19/2011	7/31/2019
Inactive	Praetorian Insurance Company	301021	Agent - Casualty	7/26/2012	3/15/2021
Inactive	Praetorian Insurance Company	301021	Agent - Property	7/26/2012	3/15/2021
Inactive	Tesla Insurance Company	300337	Agent - Casualty	9/11/2008	11/4/2013
Inactive	Tesla Insurance Company	300337	Agent - Property	9/11/2008	11/4/2013
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	5/1/2010	3/3/2017
Inactive	Trustgard Insurance Company	300104	Agent - Property	5/1/2010	3/3/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Epremium Insurance Agency LLC	684937	Agent - Casualty	9/11/2008	10/13/2020
Inactive	Epremium Insurance Agency LLC	684937	Agent - Property	9/11/2008	10/13/2020
Inactive	Epremium Insurance Agency LLC	684937	Surplus Lines Broker - Not Applicable	4/3/2018	10/13/2020
Inactive	Multifamily Community Insurance Agency LLC	549801	Agent - Casualty	1/23/2004	5/13/2005
Inactive	Multifamily Community Insurance Agency LLC	549801	Agent - Property	1/23/2004	5/13/2005