DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Chisholm, Chavis Montrell	DOIID	1338634	NAIC NPN	21009934

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	5/3/2024		11/30/2025
Active	Non Resident	Agent	Casualty	5/3/2024		11/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	09/15/2025	11/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	5/8/2024	11/15/2024
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	5/8/2024	11/15/2024
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	5/8/2024	11/15/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending	General Automobile Ins Services Of Ohio Inc The	719262	Agent - Casualty
Pending	General Automobile Ins Services Of Ohio Inc The	719262	Agent - Property