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DEPARTMENT OF INSURANCE
Affiliations
Name
Chamberlain, Jason
DOIID
842265
NAIC NPN
17232494
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Property
10/18/2021
9/30/2025
Active
Non Resident
Agent
Casualty
10/18/2021
9/30/2025
Inactive
Non Resident
Agent
Travel
6/4/2014
9/30/2019
* 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
American Modern Home Insurance Company
300791
Agent - Casualty
6/19/2015
5/4/2018
Inactive
American Modern Home Insurance Company
300791
Agent - Property
6/19/2015
5/4/2018
Inactive
American Modern Select Insurance Company
581481
Agent - Casualty
6/19/2015
5/4/2018
Inactive
American Modern Select Insurance Company
581481
Agent - Property
6/19/2015
5/4/2018
Inactive
American National Property and Casualty Company
300392
Agent - Casualty
6/25/2016
6/15/2018
Inactive
American National Property and Casualty Company
300392
Agent - Property
6/25/2016
6/15/2018
Inactive
American Southern Home Insurance Company
626276
Agent - Casualty
6/19/2015
5/4/2018
Inactive
American Southern Home Insurance Company
626276
Agent - Property
6/19/2015
5/4/2018
Active
American Strategic Insurance Corp
883540
Agent - Casualty
4/12/2024
Active
American Strategic Insurance Corp
883540
Agent - Property
4/12/2024
Active
Bristol West Insurance Company
301655
Agent - Casualty
6/12/2024
Active
Bristol West Insurance Company
301655
Agent - Property
6/12/2024
Inactive
Farmers Property and Casualty Insurance Company
301237
Agent - Casualty
11/30/2021
4/14/2023
Inactive
Farmers Property and Casualty Insurance Company
301237
Agent - Property
11/30/2021
4/14/2023
Active
Foremost Insurance Company Grand Rapids, Michigan
301027
Agent - Casualty
4/2/2024
Active
Foremost Insurance Company Grand Rapids, Michigan
301027
Agent - Property
4/2/2024
Inactive
Homesite Insurance Company
301139
Agent - Casualty
4/10/2018
2/26/2019
Inactive
Homesite Insurance Company
301139
Agent - Property
4/10/2018
2/26/2019
Inactive
QBE Insurance Corporation
300515
Agent - Casualty
7/25/2017
10/17/2018
Inactive
QBE Insurance Corporation
300515
Agent - Property
7/25/2017
10/17/2018
Inactive
SAFECO Insurance Company of America
300159
Agent - Casualty
4/25/2016
5/3/2018
Inactive
SAFECO Insurance Company of America
300159
Agent - Property
4/25/2016
5/3/2018
Inactive
SAFECO Insurance Company of Illinois
301350
Agent - Casualty
4/25/2016
5/3/2018
Inactive
SAFECO Insurance Company of Illinois
301350
Agent - Property
4/25/2016
5/3/2018
Inactive
State Automobile Mutual Insurance Company
301824
Agent - Casualty
11/20/2017
9/30/2019
Inactive
State Automobile Mutual Insurance Company
301824
Agent - Property
11/20/2017
9/30/2019
Inactive
United States Fire Insurance Company
582240
Agent - Casualty
5/10/2016
2/25/2019
Inactive
United States Fire Insurance Company
582240
Agent - Property
5/10/2016
2/25/2019
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Banc Ins Agency Inc
691585
Agent - Casualty
7/23/2014
9/30/2019
Inactive
Banc Ins Agency Inc
691585
Agent - Property
7/23/2014
9/30/2019
Inactive
Community Financial Services Insurance, LLC
702941
Agent - Casualty
7/23/2014
9/30/2019
Inactive
Community Financial Services Insurance, LLC
702941
Agent - Property
7/23/2014
9/30/2019
Inactive
Overstock Com Ins Agency
831000
Agent - Casualty
7/23/2014
9/30/2019
Inactive
Overstock Com Ins Agency
831000
Agent - Property
7/23/2014
9/30/2019
Active
Qw Insurance Solutions, LLC
1047634
Agent - Casualty
6/4/2024
Active
Qw Insurance Solutions, LLC
1047634
Agent - Property
6/4/2024
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