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DEPARTMENT OF INSURANCE
Affiliations
Name
CHS Insurance Services, LLC
DBA : CHS Insurance, CHS Surety, AG States Group
DOIID
570439
NAIC NPN
662394
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Casualty
6/9/2005
3/8/2019
Inactive
Non Resident
Agent
Health
6/10/2003
3/8/2019
Inactive
Non Resident
Agent
Life
6/10/2003
3/8/2019
Inactive
Non Resident
Agent
Property
6/9/2005
3/8/2019
Inactive
Non Resident
Surplus Lines Broker
Not Applicable
8/16/2007
3/8/2019
* 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
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
ACE American Insurance Company
300625
Agent - Casualty
5/25/2017
6/5/2018
Inactive
ACE American Insurance Company
300625
Agent - Property
5/25/2017
6/5/2018
Inactive
AMCO Insurance Company
300204
Agent - Casualty
9/28/2017
1/31/2019
Inactive
AMCO Insurance Company
300204
Agent - Property
9/28/2017
1/31/2019
Inactive
Allied Insurance Company of America
793586
Agent - Casualty
9/28/2017
1/31/2019
Inactive
Allied Insurance Company of America
793586
Agent - Property
9/28/2017
1/31/2019
Inactive
Allied Property and Casualty Insurance Company
300279
Agent - Casualty
9/28/2017
1/31/2019
Inactive
Allied Property and Casualty Insurance Company
300279
Agent - Property
9/28/2017
1/31/2019
Inactive
American Family Life Assurance Company of Columbus (AFLAC)
301781
Agent - Health
11/6/2014
3/8/2019
Inactive
American Family Life Assurance Company of Columbus (AFLAC)
301781
Agent - Life
11/6/2014
3/8/2019
Inactive
Argonaut Insurance Company
301422
Agent - Casualty
12/24/2009
8/6/2018
Inactive
Argonaut Insurance Company
301422
Agent - Property
12/24/2009
8/6/2018
Inactive
Atlantic Specialty Insurance Company
518595
Agent - Casualty
6/12/2015
6/7/2018
Inactive
Atlantic Specialty Insurance Company
518595
Agent - Property
6/12/2015
6/7/2018
Inactive
Automobile Insurance Company of Hartford, Connecticut
300630
Agent - Casualty
8/3/2016
11/30/2017
Inactive
Automobile Insurance Company of Hartford, Connecticut
300630
Agent - Property
8/3/2016
11/30/2017
Inactive
Berkley National Insurance Company
515028
Agent - Casualty
4/15/2014
6/22/2018
Inactive
Berkley National Insurance Company
515028
Agent - Property
4/15/2014
6/22/2018
Inactive
Berkley Regional Insurance Company
300920
Agent - Casualty
3/11/2015
6/22/2018
Inactive
Berkley Regional Insurance Company
300920
Agent - Property
3/11/2015
6/22/2018
Inactive
Charter Oak Fire Insurance Company (The)
301501
Agent - Casualty
8/9/2005
12/9/2009
Inactive
Charter Oak Fire Insurance Company (The)
301501
Agent - Property
8/9/2005
12/9/2009
Inactive
Continental Casualty Company
301019
Agent - Health
7/7/2003
8/10/2005
Inactive
Continental Western Insurance Company
300576
Agent - Casualty
12/14/2011
3/11/2015
Inactive
Continental Western Insurance Company
300576
Agent - Property
12/14/2011
3/11/2015
Inactive
Depositors Insurance Company
301634
Agent - Casualty
9/28/2017
1/31/2019
Inactive
Depositors Insurance Company
301634
Agent - Property
9/28/2017
1/31/2019
Inactive
Farmington Casualty Company
301137
Agent - Casualty
5/9/2006
12/9/2009
Inactive
Farmington Casualty Company
301137
Agent - Property
5/9/2006
12/9/2009
Inactive
Great American Alliance Insurance Company
301247
Agent - Casualty
11/9/2005
3/8/2019
Inactive
Great American Alliance Insurance Company
301247
Agent - Property
11/9/2005
3/8/2019
Inactive
Great American Assurance Company
300327
Agent - Casualty
11/9/2005
3/8/2019
Inactive
Great American Assurance Company
300327
Agent - Property
11/9/2005
3/8/2019
Inactive
Great American Insurance Company
301586
Agent - Casualty
11/9/2005
3/8/2019
Inactive
Great American Insurance Company
301586
Agent - Property
11/9/2005
3/8/2019
Inactive
Great American Insurance Company of New York
301897
Agent - Casualty
11/9/2005
3/8/2019
Inactive
Great American Insurance Company of New York
301897
Agent - Property
11/9/2005
3/8/2019
Inactive
Guarantee Company of North America USA (The)
300857
Agent - Casualty
3/15/2016
3/8/2019
Inactive
Hartford Life Group Insurance Company
301708
Agent - Health
7/7/2003
12/31/2006
Inactive
Hartford Life Group Insurance Company
301708
Agent - Life
7/7/2003
12/31/2006
Inactive
Hartford Life and Accident Insurance Company
300878
Agent - Health
4/21/2004
8/2/2018
Inactive
Hartford Life and Accident Insurance Company
300878
Agent - Life
4/21/2004
8/2/2018
Inactive
Lexon Insurance Company
300352
Agent - Casualty
7/11/2017
5/25/2018
Inactive
Liberty Mutual Insurance Company
301159
Agent - Casualty
2/20/2015
3/8/2019
Inactive
Merchants Bonding Company (Mutual)
300170
Agent - Casualty
8/31/2012
5/25/2018
Inactive
Merchants National Bonding Inc.
787525
Agent - Casualty
10/8/2012
5/25/2018
Inactive
Michigan Millers Mutual Insurance Company
301927
Agent - Casualty
10/26/2007
4/27/2012
Inactive
Michigan Millers Mutual Insurance Company
301927
Agent - Property
10/26/2007
4/27/2012
Inactive
Nationwide Agribusiness Insurance Company
301008
Agent - Casualty
9/28/2017
1/31/2019
Inactive
Nationwide Agribusiness Insurance Company
301008
Agent - Property
9/28/2017
1/31/2019
Inactive
Nationwide Mutual Insurance Company
301749
Agent - Casualty
9/28/2017
1/31/2019
Inactive
Nationwide Mutual Insurance Company
301749
Agent - Property
9/28/2017
1/31/2019
Inactive
Root Property & Casualty Insurance Company
301016
Agent - Casualty
2/5/2016
3/8/2019
Inactive
Root Property & Casualty Insurance Company
301016
Agent - Property
2/5/2016
3/8/2019
Inactive
Standard Fire Insurance Company (The)
301068
Agent - Casualty
5/9/2006
12/9/2009
Inactive
Standard Fire Insurance Company (The)
301068
Agent - Property
5/9/2006
12/9/2009
Inactive
StarNet Insurance Company
502746
Agent - Casualty
3/11/2015
6/22/2018
Inactive
StarNet Insurance Company
502746
Agent - Property
3/11/2015
6/22/2018
Inactive
The Phoenix Insurance Company
301502
Agent - Casualty
8/9/2005
12/9/2009
Inactive
The Phoenix Insurance Company
301502
Agent - Property
8/9/2005
12/9/2009
Inactive
Travelers Casualty Insurance Company of America
300522
Agent - Casualty
5/9/2006
12/9/2009
Inactive
Travelers Casualty Insurance Company of America
300522
Agent - Property
5/9/2006
12/9/2009
Inactive
Travelers Casualty and Surety Company
301067
Agent - Casualty
8/9/2005
12/9/2009
Inactive
Travelers Casualty and Surety Company
301067
Agent - Property
8/9/2005
12/9/2009
Inactive
Travelers Casualty and Surety Company of America
301334
Agent - Casualty
6/3/2009
7/16/2018
Inactive
Travelers Casualty and Surety Company of America
301334
Agent - Property
6/3/2009
7/16/2018
Inactive
Travelers Commercial Casualty Company
301695
Agent - Casualty
5/9/2006
12/9/2009
Inactive
Travelers Commercial Casualty Company
301695
Agent - Property
5/9/2006
12/9/2009
Inactive
Travelers Home and Marine Insurance Company (The)
301802
Agent - Casualty
8/3/2016
11/30/2017
Inactive
Travelers Home and Marine Insurance Company (The)
301802
Agent - Property
8/3/2016
11/30/2017
Inactive
Travelers Indemnity Company (The)
301855
Agent - Casualty
8/9/2005
12/9/2009
Inactive
Travelers Indemnity Company (The)
301855
Agent - Property
8/9/2005
12/9/2009
Inactive
Travelers Indemnity Company of America (The)
301093
Agent - Casualty
8/9/2005
12/9/2009
Inactive
Travelers Indemnity Company of America (The)
301093
Agent - Property
8/9/2005
12/9/2009
Inactive
Travelers Indemnity Company of Connecticut (The)
301591
Agent - Casualty
8/9/2005
12/9/2009
Inactive
Travelers Indemnity Company of Connecticut (The)
301591
Agent - Property
8/9/2005
12/9/2009
Inactive
Travelers Property Casualty Company of America
301649
Agent - Casualty
8/9/2005
7/16/2018
Inactive
Travelers Property Casualty Company of America
301649
Agent - Property
8/9/2005
7/16/2018
Inactive
Westchester Fire Insurance Company
300990
Agent - Casualty
5/22/2013
6/5/2018
Inactive
Westchester Fire Insurance Company
300990
Agent - Property
5/22/2013
6/5/2018
Inactive
Westfield Insurance Company
301950
Agent - Casualty
2/1/2008
12/19/2013
Inactive
Westfield Insurance Company
301950
Agent - Property
2/1/2008
12/19/2013
Inactive
Wilcac Life Insurance Company
301573
Agent - Health
7/7/2003
8/10/2005
Inactive
Wilcac Life Insurance Company
301573
Agent - Life
7/7/2003
8/10/2005
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Boulton, Rhesa F.
655071
Agent - Casualty
8/27/2007
1/3/2018
Inactive
Boulton, Rhesa F.
655071
Agent - Property
8/27/2007
1/3/2018
Inactive
Boulton, Rhesa F.
655071
Surplus Lines Broker - Not Applicable
8/27/2007
1/3/2018
Inactive
Buchan, Jeanne M
635069
Agent - Casualty
4/20/2009
3/31/2014
Inactive
Buchan, Jeanne M
635069
Agent - Property
4/20/2009
3/31/2014
Inactive
Chapman, Scott David
588935
Agent - Casualty
3/23/2018
3/8/2019
Inactive
Chapman, Scott David
588935
Agent - Property
3/23/2018
3/8/2019
Inactive
Doyle, John Elliott
332550
Agent - Casualty
2/7/2007
3/23/2016
Inactive
Doyle, John Elliott
332550
Agent - Property
2/7/2007
3/23/2016
Inactive
Doyle, John Elliott
332550
Surplus Lines Broker - Not Applicable
8/16/2007
11/30/2012
Inactive
Goff, Jerre D
543467
Agent - Casualty
6/9/2005
12/9/2011
Inactive
Goff, Jerre D
543467
Agent - Property
6/9/2005
12/9/2011
Inactive
Halvorsen, Marc Vern
568607
Agent - Casualty
8/27/2007
1/3/2018
Inactive
Halvorsen, Marc Vern
568607
Agent - Property
8/27/2007
1/3/2018
Inactive
Illa, Keith M
746494
Agent - Casualty
12/21/2011
1/3/2018
Inactive
Illa, Keith M
746494
Agent - Property
12/21/2011
1/3/2018
Inactive
Illa, Keith M
746494
Surplus Lines Broker - Not Applicable
12/9/2011
1/3/2018
Inactive
Lamb, Timothy Lee
916267
Agent - Casualty
6/9/2016
3/8/2019
Inactive
Lamb, Timothy Lee
916267
Agent - Property
6/9/2016
3/8/2019
Inactive
Lewis, Bryan Lee
955319
Agent - Casualty
6/16/2017
3/8/2019
Inactive
Lewis, Bryan Lee
955319
Agent - Property
6/16/2017
3/8/2019
Inactive
Lewis, Bryan Lee
955319
Surplus Lines Broker - Not Applicable
6/16/2017
9/18/2020
Inactive
Logue, Matthew Damian
656693
Agent - Casualty
3/15/2016
1/31/2018
Denied
Logue, Matthew Damian
656693
Agent - Health
Denied
Logue, Matthew Damian
656693
Agent - Life
Inactive
Logue, Matthew Damian
656693
Agent - Property
3/15/2016
1/31/2018
Denied
Mandeville, Kevin Patrick
791620
Agent - Casualty
Denied
Mandeville, Kevin Patrick
791620
Agent - Property
Inactive
Manning, Robert P
570378
Agent - Health
6/10/2003
3/8/2019
Inactive
Manning, Robert P
570378
Agent - Life
6/10/2003
3/8/2019
Inactive
Meyer, Martin R
918676
Agent - Casualty
8/3/2016
3/8/2019
Denied
Meyer, Martin R
918676
Agent - Health
Denied
Meyer, Martin R
918676
Agent - Life
Inactive
Meyer, Martin R
918676
Agent - Property
8/3/2016
3/8/2019
Inactive
Pelischek, Julie Louise
591949
Agent - Casualty
6/9/2005
2/7/2007
Inactive
Pelischek, Julie Louise
591949
Agent - Property
6/9/2005
2/7/2007
Inactive
Thorson, Cindy S
680195
Agent - Casualty
5/21/2009
1/31/2012
Inactive
Thorson, Cindy S
680195
Agent - Property
5/21/2009
1/31/2012
Denied
Warner, Terry A
687389
Agent - Casualty
Denied
Warner, Terry A
687389
Agent - Property
Inactive
Wegner, Monte A
957922
Agent - Casualty
9/28/2017
3/8/2019
Inactive
Wegner, Monte A
957922
Agent - Property
9/28/2017
3/8/2019
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