DEPARTMENT OF INSURANCE
Affiliations
NameChiappone, Dominic FrancisDOIID1243569NAIC NPN20538172
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
Pending ReplacementNon ResidentAgentProperty11/22/2022 9/30/2025
Pending ReplacementNon ResidentAgentCasualty11/22/2022 9/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent07/15/202509/30/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican Strategic Insurance Corp883540Agent - Casualty12/9/202211/13/2023
InactiveAmerican Strategic Insurance Corp883540Agent - Property12/9/202211/13/2023
Pending ReplacementBristol West Insurance Company301655Agent - Casualty12/12/2022 
Pending ReplacementBristol West Insurance Company301655Agent - Property12/12/2022 
Pending ReplacementFarmers Direct Property and Casualty Insurance Company300957Agent - Casualty12/12/2022 
Pending ReplacementFarmers Direct Property and Casualty Insurance Company300957Agent - Property12/12/2022 
Pending ReplacementFarmers Property and Casualty Insurance Company301237Agent - Casualty12/12/2022 
Pending ReplacementFarmers Property and Casualty Insurance Company301237Agent - Property12/12/2022 
Pending ReplacementForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty12/12/2022 
Pending ReplacementForemost Insurance Company Grand Rapids, Michigan301027Agent - Property12/12/2022 
InactiveSafe Auto Insurance Company300419Agent - Casualty2/2/20232/8/2023
InactiveSafe Auto Insurance Company300419Agent - Property2/2/20232/8/2023
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveInsurancezebra Inc794167Agent - Casualty12/9/20222/3/2023
InactiveInsurancezebra Inc794167Agent - Property12/9/20222/3/2023

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