DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Chambers-Hicks, Mildred K	DOIID	502610	NAIC NPN	7211177

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	7/28/2022		5/31/2027
Active	Resident	Agent	Property	7/28/2022		5/31/2027
Active	Resident	Agent	Health	7/28/2022		5/31/2027
Active	Resident	Agent	Casualty	7/28/2022		5/31/2027
Inactive	Resident	Agent	General Lines	2/4/2000	8/15/2000
* 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	03/15/2025	05/31/2025	03/17/2025	03/17/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	4/27/2005	1/16/2006
Inactive	American Fire and Casualty Company	300567	Agent - Property	4/27/2005	1/16/2006
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	5/15/2005	1/16/2006
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	5/15/2005	1/16/2006
Inactive	Grange Insurance Company	300234	Agent - Casualty	5/15/2005	1/16/2006
Inactive	Grange Insurance Company	300234	Agent - Property	5/15/2005	1/16/2006
Inactive	Grange Life Insurance Company	300128	Agent - Health	5/15/2005	1/16/2006
Inactive	Grange Life Insurance Company	300128	Agent - Life	5/15/2005	1/16/2006
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	4/27/2005	1/16/2006
Inactive	Ohio Casualty Insurance Company	301492	Agent - General Lines	2/4/2000	8/15/2000
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	4/27/2005	1/16/2006
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	4/27/2005	1/16/2006
Inactive	Ohio Security Insurance Company	300622	Agent - Property	4/27/2005	1/16/2006
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	5/15/2005	1/16/2006
Inactive	Trustgard Insurance Company	300104	Agent - Property	5/15/2005	1/16/2006
Inactive	West American Insurance Company	301112	Agent - Casualty	4/27/2005	1/16/2006
Inactive	West American Insurance Company	301112	Agent - Property	4/27/2005	1/16/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Buckley & Company Inc.	400037	Agent - Property	6/3/2005	1/16/2006
Inactive	Buckley & Company Inc.	400037	Agent - Casualty	6/3/2005	1/16/2006
Inactive	Buckley & Company Inc.	400037	Agent - Health	6/3/2005	1/16/2006
Inactive	Buckley & Company Inc.	400037	Agent - Life	6/3/2005	1/16/2006