black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JAY RICHARD CHAPPELL

PRODUCER NON-RESIDENT

License Number:
PRN120645
Status:
First Licensure:
11/12/2005
Cancel Date:
None

Mailing:
PLANO, TX 75093
Phone:
+1 (214) 725-8539
Fax:
+1 (469) 513-6408
Email:
jay.chappell@imacorp.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 07/14/2018
*** NOT ACTIVE *** 08/11/2015 07/13/2018
PRODUCER NON-RESIDENT 11/12/2005 08/10/2015

Agency

Name Issue Date License Number Expiration Date Cancel Date
IMA INC -000
08/18/2023 AGN193556
WILLIS OF OKLAHOMA INC
04/17/2019 AGN105447 01/01/2020
WILLIS OF TEXAS INC
02/01/2007 AGN38588 07/16/2015
WILLIS OF TEXAS INC
07/20/2018 AGN38588 01/01/2020
WILLIS TOWERS WATSON INSURANCE SERVICES WEST, INC
01/01/2020 AGN37579 05/17/2023

Employer

Name Issue Date License Number Expiration Date Cancel Date
ALLIANZ GLOBAL RISKS US INSURANCE COMPANY
01/27/2022 PCF780 05/23/2023
AMERICAN GUARANTEE & LIABILITY INSURANCE COMPANY
03/22/2013 PCF366 08/11/2015
AMERICAN ZURICH INSURANCE COMPANY
03/22/2013 PCF914 08/11/2015
MAINE EMPLOYERS MUTUAL INSURANCE COMPANY
05/20/2011 PCD35999 08/11/2015
NEW YORK MARINE AND GENERAL INSURANCE COMPANY
01/04/2023 PCF36395 09/22/2023
ZURICH AMERICAN INSURANCE COMPANY
03/22/2013 PCF61397 08/11/2015
ZURICH AMERICAN INSURANCE COMPANY OF ILLINOIS
03/22/2013 PCF165251 08/11/2015

Authority

Description Issue Date Termination Date Status
CASUALTY 07/14/2018 Active
PROPERTY 07/14/2018 Active
INDEPENDENT PRODUCER 02/01/2007 09/28/2011 Terminated
PROPERTY AND CASUALTY 11/12/2005 08/11/2015 Terminated
SURPLUS LINES 01/04/2019 09/14/2023 Terminated
SURPLUS LINES 07/22/2010 08/11/2015 Terminated

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
4570113

Other Addresses

Address Type
14221 DALLAS PKWY STE 700
DALLAS, TX 75254-2962
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 06/22/2025 12:33:29 AM