DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Chymiy, Michael	DOIID	899897	NAIC NPN	5705903

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	11/20/2015		12/31/2025
Active	Non Resident	Agent	Personal Lines	11/20/2015		12/31/2025
Active	Non Resident	Agent	Casualty	11/20/2015		12/31/2025
Active	Non Resident	Agent	Property	11/20/2015		12/31/2025
* 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
Active	AGCS Marine Insurance Company	300403	Agent - Casualty	11/15/2022
Active	AGCS Marine Insurance Company	300403	Agent - Property	11/15/2022
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	7/11/2016	4/21/2020
Active	American Zurich Insurance Company	300592	Agent - Health	7/11/2016
Inactive	American Zurich Insurance Company	300592	Agent - Property	7/11/2016	4/21/2020
Inactive	Sentry Insurance Company	300222	Agent - Health	8/8/2016	1/19/2023
Inactive	Sentry Life Insurance Company	301461	Agent - Health	8/8/2016	1/19/2023
Active	United States Fire Insurance Company	582240	Agent - Health	1/2/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Health	12/2/2022
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Property	12/2/2022
Denied	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Personal Lines
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Casualty	12/2/2022
Inactive	Bollinger Inc.	401156	Agent - Health	7/11/2016	8/5/2022
Inactive	Bollinger Inc.	401156	Agent - Property	7/11/2016	4/21/2020
Inactive	Bollinger Inc.	401156	Agent - Casualty	7/11/2016	4/21/2020