DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Chazal II, Charles Philip	DOIID	914187	NAIC NPN	464582

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	5/2/2016		2/28/2025
Active	Non Resident	Agent	Property	5/2/2016		2/28/2025
* 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
Agent	12/15/2024	02/28/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Capitol Indemnity Corporation	301030	Agent - Casualty	3/2/2018
Active	Glatfelter Insurance Company	301640	Agent - Casualty	5/5/2020
Active	Glatfelter Insurance Company	301640	Agent - Property	5/5/2020
Active	Platte River Insurance Company	301089	Agent - Casualty	3/2/2018
Inactive	Underwriters at Lloyd's, London	300658	Agent - Casualty	11/29/2017	12/14/2023
Inactive	Underwriters at Lloyd's, London	300658	Agent - Property	11/29/2017	12/14/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Mcgriff Insurance Services, LLC	400877	Agent - Property
Denied	Mcgriff Insurance Services, LLC	400877	Agent - Casualty