DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Obialo, Chamberlain	DOIID	687971	NAIC NPN	10207690

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	10/30/2015	6/30/2018
Inactive	Non Resident	Agent	Property	10/30/2015	6/30/2018
Inactive	Non Resident	Agent	Life	8/28/2008	6/30/2018
Inactive	Non Resident	Agent	Health	8/28/2008	6/30/2018
* 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	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	11/11/2015	3/16/2018
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	11/11/2015	3/16/2018
Inactive	John Alden Life Insurance Company	300573	Agent - Health	9/17/2008	6/23/2011
Inactive	John Alden Life Insurance Company	300573	Agent - Life	9/17/2008	6/23/2011
Inactive	Time Insurance Company	300683	Agent - Health	9/29/2008	6/16/2015
Inactive	Time Insurance Company	300683	Agent - Life	9/29/2008	6/16/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Property	11/11/2015	2/13/2018
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Casualty	11/11/2015	2/13/2018