DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Wood, Chasity Hope	DOIID	867894	NAIC NPN	17495672

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Life
Denied	Resident	Agent	Health
Inactive	Resident	Agent	Casualty	3/3/2015	7/31/2022
Inactive	Resident	Agent	Property	3/3/2015	7/31/2022
Active	Resident	Independent Adjuster	Property & Casualty	9/11/2015		7/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Independent Adjuster	05/15/2024	07/31/2024	05/10/2024	05/10/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	3/16/2015	9/1/2015
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	3/16/2015	9/1/2015
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	3/16/2015	9/1/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bluegrass Insurance Management, LLC	711568	Independent Adjuster - Property & Casualty	10/20/2015	5/8/2024