DEPARTMENT OF INSURANCE

Affiliations

Name	Blue Chip Insurance And Wealth Management	DOIID	921846	NAIC NPN	18029720

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Casualty	7/21/2016	3/31/2026
Active	Resident	Agent	Life	7/21/2016	3/31/2026
Active	Resident	Agent	Health	7/21/2016	3/31/2026
Active	Resident	Agent	Property	7/21/2016	3/31/2026
* 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 Economy Insurance Company	300315	Agent - Casualty	11/29/2023	3/29/2024
Inactive	American Economy Insurance Company	300315	Agent - Property	11/29/2023	3/29/2024
Active	Clearcover Insurance Company	1118667	Agent - Casualty	10/28/2021
Active	Clearcover Insurance Company	1118667	Agent - Property	10/28/2021
Active	Erie Family Life Insurance Company	301400	Agent - Health	2/11/2019
Active	Erie Family Life Insurance Company	301400	Agent - Life	12/1/2018
Active	Erie Insurance Company	300230	Agent - Casualty	12/1/2018
Active	Erie Insurance Company	300230	Agent - Property	12/1/2018
Active	Erie Insurance Company of New York	789916	Agent - Casualty	12/1/2018
Active	Erie Insurance Company of New York	789916	Agent - Property	12/1/2018
Active	Erie Insurance Exchange	300789	Agent - Casualty	12/1/2018
Active	Erie Insurance Exchange	300789	Agent - Property	12/1/2018
Active	Erie Insurance Property & Casualty Company	789942	Agent - Casualty	12/1/2018
Active	Erie Insurance Property & Casualty Company	789942	Agent - Property	12/1/2018
Active	Flagship City Insurance Company	789965	Agent - Casualty	12/1/2018
Active	Flagship City Insurance Company	789965	Agent - Property	12/1/2018
Active	Meridian Security Insurance Company	300423	Agent - Casualty	1/3/2017
Active	Meridian Security Insurance Company	300423	Agent - Property	1/3/2017
Active	Milbank Insurance Company	925185	Agent - Casualty	11/8/2017
Active	Milbank Insurance Company	925185	Agent - Property	11/8/2017
Active	Plaza Insurance Company	300748	Agent - Casualty	1/7/2022
Active	Plaza Insurance Company	300748	Agent - Property	1/7/2022
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	9/14/2016
Active	Progressive Casualty Insurance Company	300696	Agent - Property	9/14/2016
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	12/14/2023	3/29/2024
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	12/14/2023	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	1/2/2023	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	1/2/2023	3/29/2024
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	1/3/2017
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Property	1/3/2017
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	1/3/2017
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	1/3/2017
Active	United Financial Casualty Company	301886	Agent - Casualty	9/14/2016
Active	United Financial Casualty Company	301886	Agent - Property	9/14/2016

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Jacobs, Ann Marie	845230	Agent - Casualty	11/9/2017
Active	Jacobs, Ann Marie	845230	Agent - Health	7/21/2016
Active	Jacobs, Ann Marie	845230	Agent - Life	11/9/2017
Active	Jacobs, Ann Marie	845230	Agent - Property	11/9/2017
Active	White, Russell Keith	305215	Agent - Casualty	7/21/2016
Active	White, Russell Keith	305215	Agent - Health	7/21/2016
Active	White, Russell Keith	305215	Agent - Life	7/21/2016
Active	White, Russell Keith	305215	Agent - Property	7/21/2016