DEPARTMENT OF INSURANCE
Affiliations
NameCHS Insurance Services, LLC
DBA : CHS Insurance, CHS Surety, AG States Group
DOIID570439NAIC NPN662394
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentCasualty6/9/20053/8/2019 
InactiveNon ResidentAgentHealth6/10/20033/8/2019 
InactiveNon ResidentAgentLife6/10/20033/8/2019 
InactiveNon ResidentAgentProperty6/9/20053/8/2019 
InactiveNon ResidentSurplus Lines BrokerNot Applicable8/16/20073/8/2019 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveACE American Insurance Company300625Agent - Casualty5/25/20176/5/2018
InactiveACE American Insurance Company300625Agent - Property5/25/20176/5/2018
InactiveAMCO Insurance Company300204Agent - Casualty9/28/20171/31/2019
InactiveAMCO Insurance Company300204Agent - Property9/28/20171/31/2019
InactiveAllied Insurance Company of America793586Agent - Casualty9/28/20171/31/2019
InactiveAllied Insurance Company of America793586Agent - Property9/28/20171/31/2019
InactiveAllied Property and Casualty Insurance Company300279Agent - Casualty9/28/20171/31/2019
InactiveAllied Property and Casualty Insurance Company300279Agent - Property9/28/20171/31/2019
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health11/6/20143/8/2019
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life11/6/20143/8/2019
InactiveArgonaut Insurance Company301422Agent - Casualty12/24/20098/6/2018
InactiveArgonaut Insurance Company301422Agent - Property12/24/20098/6/2018
InactiveAtlantic Specialty Insurance Company518595Agent - Casualty6/12/20156/7/2018
InactiveAtlantic Specialty Insurance Company518595Agent - Property6/12/20156/7/2018
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty8/3/201611/30/2017
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property8/3/201611/30/2017
InactiveBerkley National Insurance Company515028Agent - Casualty4/15/20146/22/2018
InactiveBerkley National Insurance Company515028Agent - Property4/15/20146/22/2018
InactiveBerkley Regional Insurance Company300920Agent - Casualty3/11/20156/22/2018
InactiveBerkley Regional Insurance Company300920Agent - Property3/11/20156/22/2018
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty8/9/200512/9/2009
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Property8/9/200512/9/2009
InactiveContinental Casualty Company301019Agent - Health7/7/20038/10/2005
InactiveContinental Western Insurance Company300576Agent - Casualty12/14/20113/11/2015
InactiveContinental Western Insurance Company300576Agent - Property12/14/20113/11/2015
InactiveDepositors Insurance Company301634Agent - Casualty9/28/20171/31/2019
InactiveDepositors Insurance Company301634Agent - Property9/28/20171/31/2019
InactiveFarmington Casualty Company301137Agent - Casualty5/9/200612/9/2009
InactiveFarmington Casualty Company301137Agent - Property5/9/200612/9/2009
InactiveGreat American Alliance Insurance Company301247Agent - Casualty11/9/20053/8/2019
InactiveGreat American Alliance Insurance Company301247Agent - Property11/9/20053/8/2019
InactiveGreat American Assurance Company300327Agent - Casualty11/9/20053/8/2019
InactiveGreat American Assurance Company300327Agent - Property11/9/20053/8/2019
InactiveGreat American Insurance Company301586Agent - Casualty11/9/20053/8/2019
InactiveGreat American Insurance Company301586Agent - Property11/9/20053/8/2019
InactiveGreat American Insurance Company of New York301897Agent - Casualty11/9/20053/8/2019
InactiveGreat American Insurance Company of New York301897Agent - Property11/9/20053/8/2019
InactiveGuarantee Company of North America USA (The)300857Agent - Casualty3/15/20163/8/2019
InactiveHartford Life Group Insurance Company301708Agent - Health7/7/200312/31/2006
InactiveHartford Life Group Insurance Company301708Agent - Life7/7/200312/31/2006
InactiveHartford Life and Accident Insurance Company300878Agent - Health4/21/20048/2/2018
InactiveHartford Life and Accident Insurance Company300878Agent - Life4/21/20048/2/2018
InactiveLexon Insurance Company300352Agent - Casualty7/11/20175/25/2018
InactiveLiberty Mutual Insurance Company301159Agent - Casualty2/20/20153/8/2019
InactiveMerchants Bonding Company (Mutual)300170Agent - Casualty8/31/20125/25/2018
InactiveMerchants National Bonding Inc.787525Agent - Casualty10/8/20125/25/2018
InactiveMichigan Millers Mutual Insurance Company301927Agent - Casualty10/26/20074/27/2012
InactiveMichigan Millers Mutual Insurance Company301927Agent - Property10/26/20074/27/2012
InactiveNationwide Agribusiness Insurance Company301008Agent - Casualty9/28/20171/31/2019
InactiveNationwide Agribusiness Insurance Company301008Agent - Property9/28/20171/31/2019
InactiveNationwide Mutual Insurance Company301749Agent - Casualty9/28/20171/31/2019
InactiveNationwide Mutual Insurance Company301749Agent - Property9/28/20171/31/2019
InactiveRoot Property & Casualty Insurance Company301016Agent - Casualty2/5/20163/8/2019
InactiveRoot Property & Casualty Insurance Company301016Agent - Property2/5/20163/8/2019
InactiveStandard Fire Insurance Company (The)301068Agent - Casualty5/9/200612/9/2009
InactiveStandard Fire Insurance Company (The)301068Agent - Property5/9/200612/9/2009
InactiveStarNet Insurance Company502746Agent - Casualty3/11/20156/22/2018
InactiveStarNet Insurance Company502746Agent - Property3/11/20156/22/2018
InactiveThe Phoenix Insurance Company301502Agent - Casualty8/9/200512/9/2009
InactiveThe Phoenix Insurance Company301502Agent - Property8/9/200512/9/2009
InactiveTravelers Casualty Insurance Company of America300522Agent - Casualty5/9/200612/9/2009
InactiveTravelers Casualty Insurance Company of America300522Agent - Property5/9/200612/9/2009
InactiveTravelers Casualty and Surety Company301067Agent - Casualty8/9/200512/9/2009
InactiveTravelers Casualty and Surety Company301067Agent - Property8/9/200512/9/2009
InactiveTravelers Casualty and Surety Company of America301334Agent - Casualty6/3/20097/16/2018
InactiveTravelers Casualty and Surety Company of America301334Agent - Property6/3/20097/16/2018
InactiveTravelers Commercial Casualty Company301695Agent - Casualty5/9/200612/9/2009
InactiveTravelers Commercial Casualty Company301695Agent - Property5/9/200612/9/2009
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty8/3/201611/30/2017
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Property8/3/201611/30/2017
InactiveTravelers Indemnity Company (The)301855Agent - Casualty8/9/200512/9/2009
InactiveTravelers Indemnity Company (The)301855Agent - Property8/9/200512/9/2009
InactiveTravelers Indemnity Company of America (The)301093Agent - Casualty8/9/200512/9/2009
InactiveTravelers Indemnity Company of America (The)301093Agent - Property8/9/200512/9/2009
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Casualty8/9/200512/9/2009
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Property8/9/200512/9/2009
InactiveTravelers Property Casualty Company of America301649Agent - Casualty8/9/20057/16/2018
InactiveTravelers Property Casualty Company of America301649Agent - Property8/9/20057/16/2018
InactiveWestchester Fire Insurance Company300990Agent - Casualty5/22/20136/5/2018
InactiveWestchester Fire Insurance Company300990Agent - Property5/22/20136/5/2018
InactiveWestfield Insurance Company301950Agent - Casualty2/1/200812/19/2013
InactiveWestfield Insurance Company301950Agent - Property2/1/200812/19/2013
InactiveWilcac Life Insurance Company301573Agent - Health7/7/20038/10/2005
InactiveWilcac Life Insurance Company301573Agent - Life7/7/20038/10/2005
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBoulton, Rhesa F. 655071Agent - Casualty8/27/20071/3/2018
InactiveBoulton, Rhesa F. 655071Agent - Property8/27/20071/3/2018
InactiveBoulton, Rhesa F. 655071Surplus Lines Broker - Not Applicable8/27/20071/3/2018
InactiveBuchan, Jeanne M 635069Agent - Casualty4/20/20093/31/2014
InactiveBuchan, Jeanne M 635069Agent - Property4/20/20093/31/2014
InactiveChapman, Scott David 588935Agent - Casualty3/23/20183/8/2019
InactiveChapman, Scott David 588935Agent - Property3/23/20183/8/2019
InactiveDoyle, John Elliott 332550Agent - Casualty2/7/20073/23/2016
InactiveDoyle, John Elliott 332550Agent - Property2/7/20073/23/2016
InactiveDoyle, John Elliott 332550Surplus Lines Broker - Not Applicable8/16/200711/30/2012
InactiveGoff, Jerre D 543467Agent - Casualty6/9/200512/9/2011
InactiveGoff, Jerre D 543467Agent - Property6/9/200512/9/2011
InactiveHalvorsen, Marc Vern 568607Agent - Casualty8/27/20071/3/2018
InactiveHalvorsen, Marc Vern 568607Agent - Property8/27/20071/3/2018
InactiveIlla, Keith M 746494Agent - Casualty12/21/20111/3/2018
InactiveIlla, Keith M 746494Agent - Property12/21/20111/3/2018
InactiveIlla, Keith M 746494Surplus Lines Broker - Not Applicable12/9/20111/3/2018
InactiveLamb, Timothy Lee 916267Agent - Casualty6/9/20163/8/2019
InactiveLamb, Timothy Lee 916267Agent - Property6/9/20163/8/2019
InactiveLewis, Bryan Lee 955319Agent - Casualty6/16/20173/8/2019
InactiveLewis, Bryan Lee 955319Agent - Property6/16/20173/8/2019
InactiveLewis, Bryan Lee 955319Surplus Lines Broker - Not Applicable6/16/20179/18/2020
InactiveLogue, Matthew Damian 656693Agent - Casualty3/15/20161/31/2018
DeniedLogue, Matthew Damian 656693Agent - Health  
DeniedLogue, Matthew Damian 656693Agent - Life  
InactiveLogue, Matthew Damian 656693Agent - Property3/15/20161/31/2018
DeniedMandeville, Kevin Patrick 791620Agent - Casualty  
DeniedMandeville, Kevin Patrick 791620Agent - Property  
InactiveManning, Robert P 570378Agent - Health6/10/20033/8/2019
InactiveManning, Robert P 570378Agent - Life6/10/20033/8/2019
InactiveMeyer, Martin R 918676Agent - Casualty8/3/20163/8/2019
DeniedMeyer, Martin R 918676Agent - Health  
DeniedMeyer, Martin R 918676Agent - Life  
InactiveMeyer, Martin R 918676Agent - Property8/3/20163/8/2019
InactivePelischek, Julie Louise 591949Agent - Casualty6/9/20052/7/2007
InactivePelischek, Julie Louise 591949Agent - Property6/9/20052/7/2007
InactiveThorson, Cindy S 680195Agent - Casualty5/21/20091/31/2012
InactiveThorson, Cindy S 680195Agent - Property5/21/20091/31/2012
DeniedWarner, Terry A 687389Agent - Casualty  
DeniedWarner, Terry A 687389Agent - Property  
InactiveWegner, Monte A 957922Agent - Casualty9/28/20173/8/2019
InactiveWegner, Monte A 957922Agent - Property9/28/20173/8/2019

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