DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Chapman, Michael	DOIID	983015	NAIC NPN	18298408

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	2/1/2018	8/30/2021
Inactive	Non Resident	Agent	Property	2/1/2018	8/30/2021
* 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	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	11/19/2018	7/29/2020
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	11/19/2018	7/29/2020
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	3/23/2018	10/15/2021
Inactive	Ohio Security Insurance Company	300622	Agent - Property	3/23/2018	10/15/2021
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	3/25/2019	12/3/2020
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	3/25/2019	12/3/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bold Penguin Company LLC	980370	Agent - Property	7/30/2018	12/18/2018
Inactive	Bold Penguin Company LLC	980370	Agent - Casualty	7/30/2018	12/18/2018
Inactive	SMB Ins LLC	983364	Agent - Property	2/5/2018	8/30/2021
Inactive	SMB Ins LLC	983364	Agent - Casualty	2/5/2018	8/30/2021