DEPARTMENT OF INSURANCE

Affiliations

Name	Blue Chip Insurance And Wealth Management	DOIID	921846	NAIC NPN	18029720

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Casualty	7/21/2016	3/31/2026
Active	Resident	Agent	Life	7/21/2016	3/31/2026
Active	Resident	Agent	Health	7/21/2016	3/31/2026
Active	Resident	Agent	Property	7/21/2016	3/31/2026
* 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	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Economy Insurance Company	300315	Agent - Casualty	11/29/2023	3/29/2024
Inactive	American Economy Insurance Company	300315	Agent - Property	11/29/2023	3/29/2024
Active	Clearcover Insurance Company	1118667	Agent - Casualty	10/28/2021
Active	Clearcover Insurance Company	1118667	Agent - Property	10/28/2021
Active	Erie Family Life Insurance Company	301400	Agent - Health	2/11/2019
Active	Erie Family Life Insurance Company	301400	Agent - Life	12/1/2018
Active	Erie Insurance Company	300230	Agent - Casualty	12/1/2018
Active	Erie Insurance Company	300230	Agent - Property	12/1/2018
Active	Erie Insurance Company of New York	789916	Agent - Casualty	12/1/2018
Active	Erie Insurance Company of New York	789916	Agent - Property	12/1/2018
Active	Erie Insurance Exchange	300789	Agent - Casualty	12/1/2018
Active	Erie Insurance Exchange	300789	Agent - Property	12/1/2018
Active	Erie Insurance Property & Casualty Company	789942	Agent - Casualty	12/1/2018
Active	Erie Insurance Property & Casualty Company	789942	Agent - Property	12/1/2018
Active	Flagship City Insurance Company	789965	Agent - Casualty	12/1/2018
Active	Flagship City Insurance Company	789965	Agent - Property	12/1/2018
Inactive	Meridian Security Insurance Company	300423	Agent - Casualty	1/3/2017	3/20/2025
Inactive	Meridian Security Insurance Company	300423	Agent - Property	1/3/2017	3/20/2025
Inactive	Milbank Insurance Company	925185	Agent - Casualty	11/8/2017	3/20/2025
Inactive	Milbank Insurance Company	925185	Agent - Property	11/8/2017	3/20/2025
Inactive	Plaza Insurance Company	300748	Agent - Casualty	1/7/2022	3/20/2025
Inactive	Plaza Insurance Company	300748	Agent - Property	1/7/2022	3/20/2025
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	9/14/2016
Active	Progressive Casualty Insurance Company	300696	Agent - Property	9/14/2016
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	12/14/2023	3/29/2024
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	12/14/2023	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	1/2/2023	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	1/2/2023	3/29/2024
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	1/3/2017	3/20/2025
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Property	1/3/2017	3/20/2025
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	1/3/2017	3/20/2025
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	1/3/2017	3/20/2025
Active	United Financial Casualty Company	301886	Agent - Casualty	9/14/2016
Active	United Financial Casualty Company	301886	Agent - Property	9/14/2016

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Jacobs, Ann Marie	845230	Agent - Casualty	11/9/2017
Active	Jacobs, Ann Marie	845230	Agent - Health	7/21/2016
Active	Jacobs, Ann Marie	845230	Agent - Life	11/9/2017
Active	Jacobs, Ann Marie	845230	Agent - Property	11/9/2017
Active	White, Russell Keith	305215	Agent - Casualty	7/21/2016
Active	White, Russell Keith	305215	Agent - Health	7/21/2016
Active	White, Russell Keith	305215	Agent - Life	7/21/2016
Active	White, Russell Keith	305215	Agent - Property	7/21/2016