DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Chaussee, Faith Marlene	DOIID	622003	NAIC NPN	7989300

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Personal Lines	12/14/2005	2/28/2015
Inactive	Non Resident	Independent Adjuster	Property & Casualty	1/16/2014	2/28/2021
* 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	Encompass Indemnity Company	546376	Agent - Personal Lines	1/16/2006	6/16/2008
Inactive	Essentia Insurance Company	300342	Agent - Personal Lines	12/27/2007	9/11/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hagerty Classic Marine Ins Agency LLC	541026	Agent - Personal Lines	9/29/2011	9/11/2013
Inactive	Hagerty Ins Agency LLC	541031	Agent - Personal Lines	8/3/2007	9/11/2013
Inactive	Hagerty Ins Agency LLC	541031	Independent Adjuster - Property & Casualty	7/14/2016	8/20/2020