DEPARTMENT OF INSURANCE

Affiliations

Name	Chiazza, John	DOIID	661787	NAIC NPN	968374

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	10/21/2024	10/31/2026
Active	Non Resident	Agent	Property	10/21/2024	10/31/2026
Active	Non Resident	Agent	Life	10/21/2024	10/31/2026
Active	Non Resident	Agent	Casualty	10/21/2024	10/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	08/15/2026	10/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AGCS Marine Insurance Company	300403	Agent - Casualty	1/18/2022	5/28/2024
Inactive	AGCS Marine Insurance Company	300403	Agent - Property	1/18/2022	5/28/2024
Inactive	AIG Assurance Company	300897	Agent - Casualty	12/21/2023	5/28/2024
Inactive	AIG Assurance Company	300897	Agent - Property	12/21/2023	5/28/2024
Inactive	AIG Property Casualty Company	300621	Agent - Casualty	12/21/2023	5/28/2024
Inactive	AIG Property Casualty Company	300621	Agent - Property	12/21/2023	5/28/2024
Inactive	AIU Insurance Company	300729	Agent - Casualty	12/21/2023	5/28/2024
Inactive	AIU Insurance Company	300729	Agent - Property	12/21/2023	5/28/2024
Inactive	American Home Assurance Company	300246	Agent - Casualty	12/21/2023	5/28/2024
Inactive	American Home Assurance Company	300246	Agent - Property	12/21/2023	5/28/2024
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	8/31/2012	11/13/2014
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	8/31/2012	11/13/2014
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	5/6/2013	4/3/2015
Inactive	Commerce and Industry Insurance Company	300881	Agent - Casualty	12/21/2023	5/28/2024
Inactive	Commerce and Industry Insurance Company	300881	Agent - Property	12/21/2023	5/28/2024
Inactive	Employers Insurance Company of Wausau	301813	Agent - Casualty	2/21/2024	5/28/2024
Inactive	Employers Insurance Company of Wausau	301813	Agent - Property	2/21/2024	5/28/2024
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	2/21/2024	5/28/2024
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	2/21/2024	5/28/2024
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	5/6/2013	4/3/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	5/6/2013	4/3/2015
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	5/6/2013	4/3/2015
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	5/6/2013	4/3/2015
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	5/6/2013	4/3/2015
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	5/6/2013	4/3/2015
Inactive	Granite State Insurance Company	300818	Agent - Casualty	12/21/2023	5/28/2024
Inactive	Granite State Insurance Company	300818	Agent - Property	12/21/2023	5/28/2024
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	12/21/2023	5/28/2024
Inactive	Illinois National Insurance Company	301367	Agent - Property	12/21/2023	5/28/2024
Inactive	Insurance Company of the State of Pennsylvania	300807	Agent - Casualty	12/21/2023	5/28/2024
Inactive	Insurance Company of the State of Pennsylvania	300807	Agent - Property	12/21/2023	5/28/2024
Inactive	LM Insurance Corporation	301061	Agent - Casualty	2/21/2024	5/28/2024
Inactive	LM Insurance Corporation	301061	Agent - Property	2/21/2024	5/28/2024
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	2/21/2024	5/28/2024
Inactive	Liberty Insurance Corporation	300444	Agent - Property	2/21/2024	5/28/2024
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	2/21/2024	5/28/2024
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	2/21/2024	5/28/2024
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	12/21/2023	5/28/2024
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	12/21/2023	5/28/2024
Inactive	New Hampshire Insurance Company	301670	Agent - Casualty	12/21/2023	5/28/2024
Inactive	New Hampshire Insurance Company	301670	Agent - Property	12/21/2023	5/28/2024
Inactive	Rural Community Insurance Company	301891	Agent - Casualty	10/2/2009	10/28/2011
Inactive	Rural Community Insurance Company	301891	Agent - Property	8/2/2012	3/5/2016
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	4/25/2016	1/7/2021
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	4/25/2016	1/7/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/31/2012	12/1/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	8/31/2012	12/1/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/31/2012	12/1/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/31/2012	12/1/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Life
Denied	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Health
Inactive	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Property	1/18/2022	5/28/2024
Inactive	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Casualty	1/18/2022	5/28/2024
Inactive	USI Insurance Services National, Inc	509421	Agent - Life	9/12/2012	5/9/2014
Inactive	USI Insurance Services National, Inc	509421	Agent - Health	9/12/2012	5/9/2014
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	9/12/2012	5/9/2014
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	9/12/2012	5/9/2014
Inactive	USI Midwest LLC	517736	Agent - Life	6/5/2014	8/18/2016
Inactive	USI Midwest LLC	517736	Agent - Health	6/5/2014	8/18/2016
Inactive	USI Midwest LLC	517736	Agent - Property	6/5/2014	3/5/2016
Inactive	USI Midwest LLC	517736	Agent - Casualty	6/5/2014	4/3/2015
Inactive	Usi Insurance Services LLC	669260	Agent - Life	1/5/2016	12/1/2016
Inactive	Usi Insurance Services LLC	669260	Agent - Health	1/5/2016	12/1/2016
Inactive	Usi Insurance Services LLC	669260	Agent - Property	4/28/2016	2/7/2019
Inactive	Usi Insurance Services LLC	669260	Agent - Casualty	4/25/2016	2/7/2019