DEPARTMENT OF INSURANCE

Affiliations

Name	Stevens, Chad	DOIID	746381	NAIC NPN	16133628

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	6/4/2013	8/1/2018
Inactive	Resident	Agent	Health	6/4/2013	8/1/2018
Inactive	Resident	Agent	Property	2/9/2011	8/1/2018
Inactive	Resident	Agent	Casualty	2/9/2011	8/1/2018
* 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	AAA Life Insurance Company	300287	Agent - Health	6/10/2013	1/28/2016
Inactive	AAA Life Insurance Company	300287	Agent - Life	6/10/2013	1/28/2016
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	10/27/2015	3/3/2016
Inactive	American Modern Home Insurance Company	300791	Agent - Property	10/27/2015	3/3/2016
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	10/27/2015	3/3/2016
Inactive	American Modern Select Insurance Company	581481	Agent - Property	10/27/2015	3/3/2016
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	10/27/2015	3/2/2016
Inactive	American Southern Home Insurance Company	626276	Agent - Property	10/27/2015	3/2/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/9/2013	3/1/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/9/2013	3/1/2016
Inactive	Banner Life Insurance Company	301696	Agent - Life	11/14/2013	3/17/2016
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	7/6/2011	3/1/2016
Inactive	Bristol West Insurance Company	301655	Agent - Property	7/6/2011	3/1/2016
Inactive	CSAA Fire & Casualty Insurance Company	606666	Agent - Casualty	9/25/2012	1/26/2016
Inactive	CSAA Fire & Casualty Insurance Company	606666	Agent - Property	9/25/2012	1/26/2016
Inactive	CSAA General Insurance Company	606675	Agent - Casualty	9/25/2012	1/26/2016
Inactive	CSAA General Insurance Company	606675	Agent - Property	9/25/2012	1/26/2016
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	3/4/2011	10/20/2011
Inactive	Consolidated Insurance Company	300943	Agent - Property	3/4/2011	10/20/2011
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	5/31/2012	12/17/2013
Inactive	Dairyland Insurance Company	301370	Agent - Property	5/31/2012	12/17/2013
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	2/28/2011	10/2/2014
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	2/28/2011	10/2/2014
Inactive	First National Insurance Company of America	301690	Agent - Casualty	3/4/2011	10/20/2011
Inactive	First National Insurance Company of America	301690	Agent - Property	3/4/2011	10/20/2011
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/6/2011	3/1/2016
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/6/2011	3/1/2016
Inactive	General Insurance Company of America	300261	Agent - Casualty	3/4/2011	10/20/2011
Inactive	General Insurance Company of America	300261	Agent - Property	3/4/2011	10/20/2011
Inactive	Indiana Insurance Company	301909	Agent - Casualty	3/4/2011	2/16/2016
Inactive	Indiana Insurance Company	301909	Agent - Property	3/4/2011	2/16/2016
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	3/1/2011	2/12/2016
Inactive	Kentucky National Insurance Company	301625	Agent - Property	3/1/2011	2/12/2016
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	3/4/2011	10/20/2011
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	3/4/2011	10/20/2011
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	3/4/2011	10/20/2011
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	3/4/2011	10/20/2011
Inactive	Peerless Insurance Company	301910	Agent - Casualty	3/4/2011	10/20/2011
Inactive	Peerless Insurance Company	301910	Agent - Property	3/4/2011	10/20/2011
Inactive	Pruco Life Insurance Company	300954	Agent - Life	3/5/2015	2/24/2016
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	3/4/2011	2/16/2016
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	3/4/2011	2/16/2016
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	3/4/2011	2/16/2016
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	3/4/2011	2/16/2016
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	3/1/2016	9/15/2016
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	3/1/2016	9/15/2016
Inactive	State Farm Life Insurance Company	301810	Agent - Life	3/14/2016	9/15/2016
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	3/1/2016	9/15/2016
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	3/14/2016	9/15/2016
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/28/2014	4/13/2016
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/28/2014	4/13/2016
Inactive	Universal Insurance Company	686754	Agent - Casualty	5/4/2011	11/13/2013
Inactive	Universal Insurance Company	686754	Agent - Property	5/4/2011	11/13/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aaa Allied Insurance Services Inc	546922	Agent - Casualty	4/22/2013	1/26/2016
Inactive	Aaa Allied Insurance Services Inc	546922	Agent - Property	4/22/2013	1/26/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	7/9/2013	3/1/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Life	7/9/2013	3/1/2016
Inactive	Larry C Gray Ins Inc	731055	Agent - Casualty	3/2/2011	6/5/2014
Inactive	Larry C Gray Ins Inc	731055	Agent - Property	3/2/2011	6/5/2014