DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Chrisman, Evan	DOIID	1050677	NAIC NPN	19250196

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	8/26/2019		12/31/2024
Active	Resident	Agent	Property	8/26/2019		12/31/2024
Active	Resident	Agent	Life	8/16/2019		12/31/2024
Active	Resident	Agent	Casualty	8/26/2019		12/31/2024
* 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	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Modern Home Insurance Company	300791	Agent - Casualty	1/26/2023
Active	American Modern Home Insurance Company	300791	Agent - Property	1/26/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	10/2/2020
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	10/2/2020
Active	Bristol West Insurance Company	301655	Agent - Casualty	9/12/2019
Active	Bristol West Insurance Company	301655	Agent - Property	9/12/2019
Active	Dairyland Insurance Company	301370	Agent - Casualty	9/24/2019
Active	Dairyland Insurance Company	301370	Agent - Property	9/24/2019
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/12/2019
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/12/2019
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	9/3/2019
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	9/3/2019
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	9/3/2019
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	9/3/2019
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	9/3/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Designated Agent Company Inc.	681257	Agent - Health	10/12/2019
Active	Evan Chrisman Ins LLC	1122093	Agent - Casualty	2/25/2021
Active	Evan Chrisman Ins LLC	1122093	Agent - Life	2/25/2021
Active	Evan Chrisman Ins LLC	1122093	Agent - Health	2/25/2021
Active	Evan Chrisman Ins LLC	1122093	Agent - Property	2/25/2021
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	9/3/2019
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	9/3/2019
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	9/3/2019
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	9/12/2019