DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Arthur J. Gallagher and Co. of Massachusetts, Inc.	DOIID	583479	NAIC NPN	958075

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Non Resident	Agent	Health
Inactive	Non Resident	Agent	Property	1/23/2004	12/5/2005
Inactive	Non Resident	Agent	Casualty	1/23/2004	12/5/2005
Inactive	Non Resident	Agent	Life	1/23/2004	12/31/2005
* 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	AXIS Insurance Company	301290	Agent - Casualty		12/31/2005
Inactive	AXIS Insurance Company	301290	Agent - Property		12/31/2005
Inactive	Federal Insurance Company	301144	Agent - Casualty	4/26/2004	12/5/2005
Inactive	Federal Insurance Company	301144	Agent - Property	4/26/2004	12/5/2005

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Benisch, Christopher Edward	614722	Agent - Casualty
Denied	Benisch, Christopher Edward	614722	Agent - Health
Denied	Benisch, Christopher Edward	614722	Agent - Life
Denied	Benisch, Christopher Edward	614722	Agent - Property
Inactive	Chavious, Glenn T	561726	Agent - Casualty	1/23/2004	7/27/2004
Inactive	Chavious, Glenn T	561726	Agent - Life	1/23/2004	12/31/2005
Inactive	Chavious, Glenn T	561726	Agent - Property	1/23/2004	7/27/2004
Inactive	Miller, Barbara Jean	593964	Agent - Casualty	8/16/2004	12/2/2005
Denied	Miller, Barbara Jean	593964	Agent - Health
Denied	Miller, Barbara Jean	593964	Agent - Life
Inactive	Miller, Barbara Jean	593964	Agent - Property	8/16/2004	12/2/2005