DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Five Star Ins Services Inc	DOIID	706826	NAIC NPN	9158357

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	6/2/2009	4/1/2014
Inactive	Non Resident	Agent	Property	6/2/2009	4/1/2014
* 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	Aegis Security Insurance Company	300492	Agent - Casualty	9/13/2011	3/27/2013
Inactive	Aegis Security Insurance Company	300492	Agent - Property	9/13/2011	3/27/2013
Inactive	Western Surety Company	300283	Agent - Casualty	11/9/2009	3/20/2013
Inactive	Weston Property & Casualty Insurance Company	676679	Agent - Casualty	10/27/2009	4/1/2014
Inactive	Weston Property & Casualty Insurance Company	676679	Agent - Property	10/27/2009	4/1/2014

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Chapman, H Keller	393769	Agent - Casualty	6/2/2009	1/31/2014
Inactive	Chapman, H Keller	393769	Agent - Property	6/2/2009	1/31/2014