DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Chmelka, Nicholas D	DOIID	796863	NAIC NPN	16822206

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	11/9/2012		3/31/2027
Active	Non Resident	Agent	Casualty	11/9/2012		3/31/2027
* 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	01/15/2025	03/31/2025	03/10/2025	03/10/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Family Connect Property and Casualty Insurance Company	622403	Agent - Casualty	11/12/2012
Active	American Family Connect Property and Casualty Insurance Company	622403	Agent - Property	11/12/2012
Active	American Modern Home Insurance Company	300791	Agent - Casualty	7/27/2023
Active	American Modern Home Insurance Company	300791	Agent - Property	7/27/2023
Active	Bristol West Insurance Company	301655	Agent - Casualty	8/11/2023
Active	Bristol West Insurance Company	301655	Agent - Property	8/11/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/11/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/11/2023
Active	Homesite Insurance Company	301139	Agent - Casualty	11/14/2022
Active	Homesite Insurance Company	301139	Agent - Property	11/14/2022
Active	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	11/14/2022
Active	Homesite Insurance Company of the Midwest	874850	Agent - Property	11/14/2022
Active	Midvale Indemnity Company	300292	Agent - Casualty	11/14/2022
Active	Midvale Indemnity Company	300292	Agent - Property	11/14/2022
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	8/11/2023
Active	Progressive Casualty Insurance Company	300696	Agent - Property	8/11/2023
Active	United Financial Casualty Company	301886	Agent - Casualty	8/11/2023
Active	United Financial Casualty Company	301886	Agent - Property	8/11/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Family Connect Insurance Agency, Inc.	619157	Agent - Property	8/15/2023
Active	American Family Connect Insurance Agency, Inc.	619157	Agent - Casualty	8/15/2023