DEPARTMENT OF INSURANCE

Name	Chamberlain, Jason	DOIID	842265	NAIC NPN	17232494

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	10/18/2021		9/30/2025
Active	Non Resident	Agent	Casualty	10/18/2021		9/30/2025
Inactive	Non Resident	Agent	Travel	6/4/2014	9/30/2019

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

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
Business / Home Office	71 Hopmeadow St Apt 8a-7 Weatogue, CT 060899656
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(860) 709-1727