DEPARTMENT OF INSURANCE
Affiliations
NameChatham, Thomas WDOIID350992NAIC NPN331830
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentProperty8/15/2000 10/31/2025
ActiveNon ResidentAgentLife6/20/1995 10/31/2025
ActiveNon ResidentAgentCasualty8/15/2000 10/31/2025
ActiveNon ResidentAgentHealth6/20/1995 10/31/2025
InactiveNon ResidentAgentHealth Maintenance Organization1/27/19983/1/2001 
InactiveNon ResidentAgentGeneral Lines8/12/19888/15/2000 
ActiveNon ResidentSurplus Lines BrokerNot Applicable3/14/2017 10/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveACE American Insurance Company300625Agent - Casualty8/15/2000 
InactiveACE American Insurance Company300625Agent - General Lines9/27/19918/15/2000
ActiveACE American Insurance Company300625Agent - Property8/15/2000 
InactiveACE Fire Underwriters Insurance Company301679Agent - Casualty8/15/200011/21/2002
InactiveACE Fire Underwriters Insurance Company301679Agent - General Lines9/27/19918/15/2000
InactiveACE Fire Underwriters Insurance Company301679Agent - Property8/15/200011/21/2002
ActiveACE Property and Casualty Insurance Company300520Agent - Casualty8/15/2000 
InactiveACE Property and Casualty Insurance Company300520Agent - General Lines9/27/19918/15/2000
ActiveACE Property and Casualty Insurance Company300520Agent - Property8/15/2000 
InactiveACUITY, A Mutual Insurance Company300095Agent - Casualty8/27/201512/19/2023
InactiveACUITY, A Mutual Insurance Company300095Agent - Property8/27/201512/19/2023
InactiveAetna Health Inc.300694Agent - Health8/24/200112/31/2007
InactiveAetna Health Inc. (PA)660717Agent - Health12/31/200710/3/2011
InactiveAetna Life Insurance Company301140Agent - Health8/24/200110/3/2011
InactiveAetna Life Insurance Company301140Agent - Life8/24/200110/3/2011
InactiveAmerican General Life Insurance Company301585Agent - Health3/31/20035/6/2009
InactiveAmerican General Life Insurance Company301585Agent - Life3/31/20035/6/2009
InactiveAmerican States Insurance Company301230Agent - General Lines8/12/19883/31/1998
InactiveAnthem Life Insurance Company301209Agent - Health8/25/20002/1/2005
InactiveAnthem Life Insurance Company301209Agent - Life8/25/20002/1/2005
ActiveBankers Standard Insurance Company301620Agent - Casualty11/30/2006 
ActiveBankers Standard Insurance Company301620Agent - Property11/30/2006 
InactiveBerkshire Life Insurance Company of America300983Agent - Health12/2/20035/11/2006
InactiveBerkshire Life Insurance Company of America300983Agent - Life12/2/20035/11/2006
InactiveBuckeye Union Insurance Company (The)300597Agent - General Lines8/30/19883/31/1998
InactiveCentury Indemnity Company301310Agent - General Lines9/27/19913/31/1998
ActiveContinental Insurance Company (The)301242Agent - Casualty12/29/2022 
InactiveContinental Insurance Company (The)301242Agent - General Lines8/30/19888/15/2000
ActiveContinental Insurance Company (The)301242Agent - Property12/29/2022 
InactiveDental Concern Inc. (The)301641Agent - Health3/21/200912/3/2009
ActiveEmployers Insurance Company of Wausau301813Agent - Casualty2/23/2012 
ActiveEmployers Insurance Company of Wausau301813Agent - Property2/23/2012 
InactiveEmployers Mutual Casualty Company300202Agent - Casualty8/15/20003/16/2006
InactiveEmployers Mutual Casualty Company300202Agent - General Lines8/3/20008/15/2000
InactiveEmployers Mutual Casualty Company300202Agent - Property8/15/20003/16/2006
ActiveFCCI Insurance Company557454Agent - Casualty4/23/2003 
ActiveFCCI Insurance Company557454Agent - Property4/23/2003 
ActiveFederal Insurance Company301144Agent - Casualty8/15/2000 
InactiveFederal Insurance Company301144Agent - General Lines5/28/19928/15/2000
ActiveFederal Insurance Company301144Agent - Property8/15/2000 
ActiveFirst Liberty Insurance Corporation (The)301060Agent - Casualty2/23/2012 
ActiveFirst Liberty Insurance Corporation (The)301060Agent - Property2/23/2012 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty7/14/2004 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property7/14/2004 
InactiveGeneral Casualty Company of Wisconsin300930Agent - Casualty8/15/20005/18/2006
InactiveGeneral Casualty Company of Wisconsin300930Agent - General Lines10/2/19968/15/2000
InactiveGeneral Casualty Company of Wisconsin300930Agent - Property8/15/20005/18/2006
InactiveGlobe American Casualty Company301033Agent - General Lines5/31/19958/15/2000
InactiveGrange Indemnity Insurance Company300793Agent - Casualty3/10/20093/22/2017
InactiveGrange Indemnity Insurance Company300793Agent - Property3/10/20093/22/2017
InactiveGrange Insurance Company300234Agent - Casualty3/10/20093/23/2017
InactiveGrange Insurance Company300234Agent - Property3/10/20093/23/2017
InactiveGreat American Alliance Insurance Company301247Agent - Casualty10/30/200010/9/2001
InactiveGreat American Alliance Insurance Company301247Agent - Property10/30/200010/9/2001
InactiveGreat American Insurance Company301586Agent - Casualty9/27/20046/25/2008
InactiveGreat American Insurance Company301586Agent - General Lines12/31/19988/15/2000
InactiveGreat American Insurance Company301586Agent - Property9/27/20046/25/2008
InactiveGreat American Insurance Company of New York301897Agent - Casualty9/27/20046/25/2008
InactiveGreat American Insurance Company of New York301897Agent - General Lines6/23/19988/15/2000
InactiveGreat American Insurance Company of New York301897Agent - Property9/27/20046/25/2008
InactiveGreat American Security Insurance Company301228Agent - Casualty12/4/200010/9/2001
InactiveGreat American Security Insurance Company301228Agent - Property12/4/200010/9/2001
ActiveGreat Northern Insurance Company301107Agent - Casualty1/4/2018 
ActiveGreat Northern Insurance Company301107Agent - Property1/4/2018 
InactiveGuardian Life Insurance Company of America301316Agent - Health12/2/20035/11/2006
InactiveGuardian Life Insurance Company of America301316Agent - Life12/2/20035/11/2006
ActiveGuideOne Elite Insurance Company300490Agent - Casualty4/15/2024 
ActiveGuideOne Elite Insurance Company300490Agent - Property4/15/2024 
ActiveGuideOne Insurance Company301794Agent - Casualty4/15/2024 
ActiveGuideOne Insurance Company301794Agent - Property4/15/2024 
ActiveGuideOne Specialty Insurance Company300278Agent - Casualty4/15/2024 
ActiveGuideOne Specialty Insurance Company300278Agent - Property4/15/2024 
InactiveHamilton Mutual Insurance Company301111Agent - Casualty8/15/20003/16/2006
InactiveHamilton Mutual Insurance Company301111Agent - General Lines8/3/20008/15/2000
InactiveHamilton Mutual Insurance Company301111Agent - Property8/15/20003/16/2006
ActiveHartford Accident and Indemnity Company301917Agent - Casualty3/26/2012 
ActiveHartford Accident and Indemnity Company301917Agent - Property3/26/2012 
InactiveHartford Casualty Insurance Company301332Agent - Casualty6/5/200711/19/2009
InactiveHartford Casualty Insurance Company301332Agent - Property6/5/200711/19/2009
ActiveHartford Fire Insurance Company300628Agent - Casualty6/5/2007 
ActiveHartford Fire Insurance Company300628Agent - Property6/5/2007 
ActiveHartford Insurance Company of the Midwest301918Agent - Casualty6/5/2007 
ActiveHartford Insurance Company of the Midwest301918Agent - Property6/5/2007 
InactiveHartford Underwriters Insurance Company301064Agent - Casualty6/5/200711/5/2008
InactiveHartford Underwriters Insurance Company301064Agent - Property6/5/200711/5/2008
InactiveHumana Health Plan, Inc.300142Agent - Health3/1/200112/3/2009
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization10/6/19983/1/2001
InactiveHumana Insurance Company301104Agent - Health9/9/199812/3/2009
InactiveHumana Insurance Company301104Agent - Life9/9/199812/3/2009
InactiveHumana Insurance Company of Kentucky300826Agent - Health1/30/200412/3/2009
InactiveHumana Insurance Company of Kentucky300826Agent - Life1/30/200412/3/2009
ActiveIndemnity Insurance Company of North America301760Agent - Casualty8/15/2000 
InactiveIndemnity Insurance Company of North America301760Agent - General Lines9/27/19918/15/2000
ActiveIndemnity Insurance Company of North America301760Agent - Property8/15/2000 
InactiveInsurance Company of North America300226Agent - Casualty8/15/200011/21/2002
InactiveInsurance Company of North America300226Agent - General Lines9/27/19918/15/2000
InactiveInsurance Company of North America300226Agent - Property8/15/200011/21/2002
InactiveKanawha Insurance Company300127Agent - Health4/10/200812/3/2009
InactiveKanawha Insurance Company300127Agent - Life4/10/200812/3/2009
ActiveLM Insurance Corporation301061Agent - Casualty2/23/2012 
ActiveLM Insurance Corporation301061Agent - Property2/23/2012 
ActiveLiberty Insurance Corporation300444Agent - Casualty2/23/2012 
ActiveLiberty Insurance Corporation300444Agent - Property2/23/2012 
ActiveLiberty Mutual Fire Insurance Company301913Agent - Casualty2/23/2012 
ActiveLiberty Mutual Fire Insurance Company301913Agent - Property2/23/2012 
ActiveLiberty Mutual Insurance Company301159Agent - Casualty2/23/2012 
ActiveLiberty Mutual Insurance Company301159Agent - Property2/23/2012 
ActiveMonroe Guaranty Insurance Company300771Agent - Casualty6/24/2002 
ActiveMonroe Guaranty Insurance Company300771Agent - Property6/24/2002 
InactiveNational Interstate Insurance Company301301Agent - Casualty10/24/201311/22/2016
InactiveNational Interstate Insurance Company301301Agent - Property10/24/201311/22/2016
ActiveNational Trust Insurance Company300367Agent - Casualty6/24/2002 
ActiveNational Trust Insurance Company300367Agent - Property6/24/2002 
InactiveOhio Farmers Insurance Company301667Agent - Casualty8/15/20003/1/2004
InactiveOhio Farmers Insurance Company301667Agent - General Lines5/18/19928/15/2000
InactiveOhio Farmers Insurance Company301667Agent - Property8/15/20003/1/2004
InactiveOld Line Life Insurance Company of America (The)301709Agent - Health4/26/20013/31/2003
InactiveOld Line Life Insurance Company of America (The)301709Agent - Life4/26/20013/31/2003
InactivePacific Employers Insurance Company301753Agent - Casualty8/15/200011/21/2002
InactivePacific Employers Insurance Company301753Agent - General Lines9/27/19918/15/2000
InactivePacific Employers Insurance Company301753Agent - Property8/15/200011/21/2002
InactivePrincipal Life Insurance Company300129Agent - Health7/19/199511/30/2003
InactivePrincipal Life Insurance Company300129Agent - Life7/19/199511/30/2003
InactiveProperty and Casualty Insurance Company of Hartford301409Agent - Casualty6/5/200711/5/2008
InactiveProperty and Casualty Insurance Company of Hartford301409Agent - Property6/5/200711/5/2008
InactiveProvident Life and Accident Insurance Company301525Agent - Health7/9/20033/9/2016
InactiveProvident Life and Accident Insurance Company301525Agent - Life7/9/20033/9/2016
InactiveRegent Insurance Company300411Agent - Casualty8/15/20005/18/2006
InactiveRegent Insurance Company300411Agent - General Lines8/3/19998/15/2000
InactiveRegent Insurance Company300411Agent - Property8/15/20005/18/2006
InactiveSelective Insurance Company of America500018Agent - Casualty12/20/20001/15/2009
InactiveSelective Insurance Company of America500018Agent - Property12/20/20001/15/2009
InactiveSelective Insurance Company of South Carolina500012Agent - Casualty12/20/20001/15/2009
InactiveSelective Insurance Company of South Carolina500012Agent - Property12/20/20001/15/2009
InactiveSelective Insurance Company of the Southeast300381Agent - Casualty12/20/20001/15/2009
InactiveSelective Insurance Company of the Southeast300381Agent - Property12/20/20001/15/2009
ActiveSentinel Insurance Company, Limited501696Agent - Casualty2/22/2016 
ActiveSentinel Insurance Company, Limited501696Agent - Property2/22/2016 
InactiveState Auto Property & Casualty Insurance Company301953Agent - Casualty8/15/20004/15/2005
InactiveState Auto Property & Casualty Insurance Company301953Agent - General Lines4/4/19968/15/2000
InactiveState Auto Property & Casualty Insurance Company301953Agent - Property8/15/20004/15/2005
InactiveState Automobile Mutual Insurance Company301824Agent - Casualty8/15/20004/15/2005
InactiveState Automobile Mutual Insurance Company301824Agent - General Lines4/4/19968/15/2000
InactiveState Automobile Mutual Insurance Company301824Agent - Property8/15/20004/15/2005
InactiveTime Insurance Company300683Agent - Health6/20/19954/19/2004
InactiveTime Insurance Company300683Agent - Life6/20/19954/19/2004
InactiveTrustgard Insurance Company300104Agent - Casualty3/10/20093/22/2017
InactiveTrustgard Insurance Company300104Agent - Property3/10/20093/22/2017
ActiveTwin City Fire Insurance Company300721Agent - Casualty6/5/2007 
ActiveTwin City Fire Insurance Company300721Agent - Property6/5/2007 
InactiveU.S. Specialty Insurance Company300186Agent - Casualty8/15/20004/19/2004
InactiveU.S. Specialty Insurance Company300186Agent - General Lines3/3/20008/15/2000
InactiveU.S. Specialty Insurance Company300186Agent - Property8/15/20004/19/2004
InactiveUnited Heartland Life Insurance Company517547Agent - Health4/5/20017/10/2006
InactiveUnited Heartland Life Insurance Company517547Agent - Life4/5/20017/10/2006
InactiveUnited Wisconsin Insurance Company301103Agent - Health3/27/20007/10/2006
InactiveUnitedHealthcare Insurance Company300946Agent - Health10/26/200612/12/2009
InactiveUnitedHealthcare Insurance Company300946Agent - Life10/26/200612/12/2009
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health10/26/200612/12/2009
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health10/26/200612/12/2009
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health Maintenance Organization1/27/19983/1/2001
InactiveWausau Business Insurance Company301476Agent - Casualty2/23/20123/31/2015
InactiveWausau Business Insurance Company301476Agent - Property2/23/20123/31/2015
InactiveWausau Underwriters Insurance Company301105Agent - Casualty2/23/20128/31/2015
InactiveWausau Underwriters Insurance Company301105Agent - Property2/23/20128/31/2015
ActiveWest Bend Insurance Company672974Agent - Casualty7/24/2023 
ActiveWest Bend Insurance Company672974Agent - Property7/24/2023 
InactiveWestfield Insurance Company301950Agent - Casualty8/15/20003/1/2004
InactiveWestfield Insurance Company301950Agent - General Lines5/18/19928/15/2000
InactiveWestfield Insurance Company301950Agent - Property8/15/20003/1/2004
InactiveWestfield National Insurance Company301036Agent - Casualty8/15/20003/1/2004
InactiveWestfield National Insurance Company301036Agent - General Lines12/30/19978/15/2000
InactiveWestfield National Insurance Company301036Agent - Property8/15/20003/1/2004
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArison Insurance Services, Inc.401001Agent - Life6/15/200011/14/2002
InactiveArison Insurance Services, Inc.401001Agent - Health6/15/200011/14/2002
InactiveO'Leary-Kientz, Inc520321Agent - Life7/19/20011/29/2004
InactiveO'Leary-Kientz, Inc520321Agent - Health7/19/20011/29/2004
InactiveO'Leary-Kientz, Inc520321Agent - Property8/15/20001/29/2004
InactiveO'Leary-Kientz, Inc520321Agent - Casualty8/15/20001/29/2004
InactiveUSI Midwest LLC517736Agent - Life1/29/20043/9/2016
InactiveUSI Midwest LLC517736Agent - Health1/29/20043/9/2016
InactiveUSI Midwest LLC517736Agent - Property1/29/20048/18/2016
InactiveUSI Midwest LLC517736Agent - Casualty1/29/20048/18/2016
InactiveUsi Insurance Services LLC669260Agent - Life1/5/20163/9/2016
InactiveUsi Insurance Services LLC669260Agent - Health1/5/20163/9/2016
ActiveUsi Insurance Services LLC669260Agent - Property1/5/2016 
ActiveUsi Insurance Services LLC669260Agent - Casualty1/5/2016 

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