DEPARTMENT OF INSURANCE

Affiliations

Name	Chism, Dorian D	DOIID	891464	NAIC NPN	16886485

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Personal Lines	9/16/2015	4/30/2024
Inactive	Non Resident	Agent	Health	2/2/2022	4/30/2024
Inactive	Non Resident	Agent	Property	11/11/2019	4/30/2024
Inactive	Non Resident	Agent	Casualty	11/11/2019	4/30/2024
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	2/21/2022	4/30/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	2/21/2022	4/30/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	2/21/2022	4/30/2024
Inactive	Allstate Indemnity Company	300778	Agent - Casualty	11/14/2019	10/2/2021
Inactive	Allstate Indemnity Company	300778	Agent - Property	11/14/2019	10/2/2021
Inactive	Allstate Insurance Company	300773	Agent - Casualty	11/14/2019	10/2/2021
Inactive	Allstate Insurance Company	300773	Agent - Property	11/14/2019	10/2/2021
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	11/14/2019	10/2/2021
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	11/14/2019	10/2/2021
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	11/14/2019	10/2/2021
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	11/14/2019	10/2/2021
Inactive	American Economy Insurance Company	300315	Agent - Personal Lines	8/31/2022	4/30/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	2/3/2022	12/20/2022
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	2/3/2022	12/20/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	2/3/2022	12/20/2022
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	12/7/2022	2/29/2024
Inactive	Bristol West Insurance Company	301655	Agent - Personal Lines	12/11/2018	7/31/2019
Inactive	Bristol West Insurance Company	301655	Agent - Property	12/7/2022	2/29/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	2/3/2022	12/20/2022
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	8/19/2021	11/5/2021
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Personal Lines	8/19/2021	11/5/2021
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	8/19/2021	11/5/2021
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Personal Lines	9/22/2015	7/11/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/28/2022	2/29/2024
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/28/2022	2/29/2024
Inactive	Homesite Insurance Company	301139	Agent - Personal Lines	11/30/2018	7/23/2019
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Personal Lines	11/30/2018	7/23/2019
Inactive	LM General Insurance Company	300133	Agent - Personal Lines	9/22/2015	7/11/2019
Inactive	LM Insurance Corporation	301061	Agent - Personal Lines	9/22/2015	10/1/2018
Inactive	Liberty Insurance Corporation	300444	Agent - Personal Lines	9/22/2015	7/11/2019
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Personal Lines	9/22/2015	10/1/2018
Inactive	Liberty Mutual Insurance Company	301159	Agent - Personal Lines	9/22/2015	10/1/2018
Inactive	Liberty Mutual Personal Insurance Company	959584	Agent - Personal Lines	8/10/2018	7/11/2019
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	9/14/2021	10/18/2021
Inactive	Progressive Casualty Insurance Company	300696	Agent - Personal Lines	2/18/2019	9/3/2019
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	9/14/2021	10/18/2021
Inactive	SilverScript Insurance Company	663526	Agent - Health	2/21/2022	4/30/2024
Inactive	Spinnaker Insurance Company	300099	Agent - Casualty	6/30/2022	4/17/2023
Inactive	Spinnaker Insurance Company	300099	Agent - Property	6/30/2022	4/17/2023
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	2/26/2022	8/29/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Awl Insurance Agency Inc	945504	Agent - Personal Lines	9/20/2021	11/5/2021
Inactive	Awl Insurance Agency Inc	945504	Agent - Casualty	9/20/2021	11/5/2021
Inactive	Awl Insurance Agency Inc	945504	Agent - Property	9/20/2021	11/5/2021
Inactive	Hippo Analytics Inc.	990810	Agent - Casualty	7/15/2022	4/21/2023
Inactive	Hippo Analytics Inc.	990810	Agent - Property	7/15/2022	4/21/2023
Inactive	North American Advantage Insurance Services, LLC	1057060	Agent - Casualty	7/15/2022	2/9/2023
Inactive	North American Advantage Insurance Services, LLC	1057060	Agent - Property	7/15/2022	2/9/2023