DEPARTMENT OF INSURANCE

Name	Chavious, Glenn T	DOIID	561726	NAIC NPN	2299110

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	12/12/2002		6/30/2026
Active	Non Resident	Agent	Casualty	12/12/2002		6/30/2026
Active	Non Resident	Agent	Life	5/27/2003		6/30/2026
Active	Non Resident	Agent	Health	5/27/2003		6/30/2026
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	4/15/2014	8/15/2019

*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	04/15/2024	06/30/2024	05/29/2024	05/29/2024	Yes

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Residence	Not Public Information
Business / Home Office	2630 Eastside Blvd Beatrice, NE 683103472

Phone Information

Type	Phone
Business / Home Office	(949) 851-6551