DEPARTMENT OF INSURANCE

Affiliations

Name	Chappell, Jay	DOIID	619808	NAIC NPN	4570113

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	7/13/2018	9/13/2023
Inactive	Non Resident	Agent	Property	7/13/2018	9/13/2023
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	1/3/2019	9/13/2023
* 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	ACE American Insurance Company	300625	Agent - Casualty	8/6/2009	8/11/2015
Inactive	ACE American Insurance Company	300625	Agent - Property	8/6/2009	8/11/2015
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	8/7/2018	9/13/2023
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Property	8/7/2018	9/13/2023
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	8/7/2018	9/13/2023
Inactive	American Zurich Insurance Company	300592	Agent - Property	8/7/2018	9/13/2023
Inactive	Arch Insurance Company	300688	Agent - Casualty	4/22/2009	8/11/2015
Inactive	Arch Insurance Company	300688	Agent - Property	4/22/2009	8/11/2015
Inactive	Capitol Indemnity Corporation	301030	Agent - Casualty	7/15/2010	8/11/2015
Inactive	Capitol Indemnity Corporation	301030	Agent - Property	7/15/2010	8/11/2015
Inactive	Employers Insurance Company of Wausau	301813	Agent - Casualty	1/20/2020	9/13/2023
Inactive	Employers Insurance Company of Wausau	301813	Agent - Property	1/20/2020	9/13/2023
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	8/7/2018	9/13/2023
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	8/7/2018	9/13/2023
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	10/6/2021	5/23/2023
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	10/6/2021	5/23/2023
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	1/20/2020	9/13/2023
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	1/20/2020	9/13/2023
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	11/21/2008	8/11/2015
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	11/21/2008	8/11/2015
Inactive	LM Insurance Corporation	301061	Agent - Casualty	1/20/2020	9/13/2023
Inactive	LM Insurance Corporation	301061	Agent - Property	1/20/2020	9/13/2023
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	1/20/2020	9/13/2023
Inactive	Liberty Insurance Corporation	300444	Agent - Property	1/20/2020	9/13/2023
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	1/20/2020	9/13/2023
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	1/20/2020	9/13/2023
Inactive	Platte River Insurance Company	301089	Agent - Casualty	7/15/2010	8/11/2015
Inactive	Platte River Insurance Company	301089	Agent - Property	7/15/2010	8/11/2015
Inactive	Westchester Fire Insurance Company	301414	Agent - Casualty	8/6/2009	1/1/2011
Inactive	Westchester Fire Insurance Company	300990	Agent - Casualty	1/1/2011	8/11/2015
Inactive	Westchester Fire Insurance Company	301414	Agent - Property	8/6/2009	1/1/2011
Inactive	Westchester Fire Insurance Company	300990	Agent - Property	1/1/2011	8/11/2015
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	8/7/2018	9/13/2023
Inactive	Zurich American Insurance Company	301121	Agent - Property	8/7/2018	9/13/2023
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	8/7/2018	9/13/2023
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Property	8/7/2018	9/13/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Of Oklahoma Inc	555075	Agent - Casualty	4/18/2019	1/8/2020
Inactive	Willis Of Oklahoma Inc	555075	Agent - Property	4/18/2019	1/8/2020
Inactive	Willis Of Oklahoma Inc	555075	Surplus Lines Broker - Not Applicable	4/18/2019	7/7/2020
Inactive	Willis Of Texas Inc	600311	Agent - Casualty	8/20/2018	1/8/2020
Inactive	Willis Of Texas Inc	600311	Agent - Property	8/20/2018	1/8/2020
Inactive	Willis Of Texas Inc	600311	Surplus Lines Broker - Not Applicable	5/23/2012	7/28/2015
Inactive	Willis Towers Watson Insurance Services West Inc	538729	Agent - Casualty	2/1/2020	5/17/2023
Inactive	Willis Towers Watson Insurance Services West Inc	538729	Agent - Property	2/1/2020	5/17/2023
Inactive	Willis Towers Watson Insurance Services West Inc	538729	Surplus Lines Broker - Not Applicable	2/1/2020	6/8/2023