DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Chmel, Matthew R	DOIID	676106	NAIC NPN	8927703

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	3/12/2008		1/31/2026
Active	Non Resident	Agent	Property	3/12/2008		1/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	1/15/2015		1/31/2026
* 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
Active	AXIS Insurance Company	301290	Agent - Casualty	5/7/2020
Active	AXIS Insurance Company	301290	Agent - Property	5/7/2020
Active	Allianz Global Risks US Insurance Company	301250	Agent - Casualty	5/26/2023
Active	Allianz Global Risks US Insurance Company	301250	Agent - Property	5/26/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aon Risk Services Central, Inc	502106	Agent - Property	2/14/2022
Active	Aon Risk Services Central, Inc	502106	Agent - Casualty	2/14/2022
Active	Aon Risk Services Central, Inc	502106	Surplus Lines Broker - Not Applicable	2/14/2022