DEPARTMENT OF INSURANCE

Affiliations

Name	Chissom, Karen	DOIID	835275	NAIC NPN	17207873

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Casualty	3/18/2014	10/31/2024
Active	Resident	Agent	Property	3/18/2014	10/31/2024
* 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	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	3/26/2014	12/19/2023
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	3/26/2014	12/19/2023
Active	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019
Active	American Economy Insurance Company	300315	Agent - Property	11/9/2019
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	4/9/2014	10/15/2021
Inactive	American Fire and Casualty Company	300567	Agent - Property	4/9/2014	10/15/2021
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	7/1/2019
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	7/1/2019
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Casualty	3/10/2017	5/23/2023
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Property	3/10/2017	5/23/2023
Active	Cincinnati Casualty Company (The)	300308	Agent - Casualty	5/8/2017
Active	Cincinnati Casualty Company (The)	300308	Agent - Property	5/8/2017
Active	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	5/8/2017
Active	Cincinnati Indemnity Company (The)	301566	Agent - Property	5/8/2017
Active	Cincinnati Insurance Company	301298	Agent - Casualty	5/8/2017
Active	Cincinnati Insurance Company	301298	Agent - Property	5/8/2017
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	4/9/2014	4/26/2024
Inactive	Consolidated Insurance Company	300943	Agent - Property	4/9/2014	4/26/2024
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	4/2/2014	2/2/2017
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	4/2/2014	2/2/2017
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	4/2/2014	2/2/2017
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	4/2/2014	2/2/2017
Inactive	Indiana Insurance Company	301909	Agent - Casualty	4/9/2014	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	4/9/2014	2/3/2023
Active	Kentucky National Insurance Company	301625	Agent - Casualty	4/8/2014
Active	Kentucky National Insurance Company	301625	Agent - Property	4/8/2014
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	4/9/2014	4/26/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	4/9/2014	4/26/2024
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	4/9/2014
Active	Ohio Casualty Insurance Company	301492	Agent - Property	4/9/2014
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	4/9/2014	10/15/2021
Inactive	Ohio Security Insurance Company	300622	Agent - Property	4/9/2014	10/15/2021
Inactive	Old Guard Insurance Company	533854	Agent - Casualty	6/1/2021	6/10/2021
Inactive	Old Guard Insurance Company	533854	Agent - Property	6/1/2021	6/10/2021
Active	Peerless Indemnity Insurance Company	571682	Agent - Casualty	4/9/2014
Active	Peerless Indemnity Insurance Company	571682	Agent - Property	4/9/2014
Active	Peerless Insurance Company	301910	Agent - Casualty	4/9/2014
Active	Peerless Insurance Company	301910	Agent - Property	4/9/2014
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	3/21/2014	2/1/2017
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	3/21/2014	2/1/2017
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	4/9/2014
Active	SAFECO Insurance Company of America	300159	Agent - Property	4/9/2014
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	4/9/2014
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	4/9/2014
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	3/11/2019
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Property	3/11/2019
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	2/2/2018
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	2/2/2018
Active	Unitrin Auto and Home Insurance Company	301538	Agent - Casualty	5/19/2017
Active	Unitrin Auto and Home Insurance Company	301538	Agent - Property	5/19/2017
Active	West American Insurance Company	301112	Agent - Casualty	4/9/2014
Active	West American Insurance Company	301112	Agent - Property	4/9/2014
Inactive	Westfield Champion Insurance Company	1054839	Agent - Casualty	6/1/2021	6/10/2021
Inactive	Westfield Champion Insurance Company	1054839	Agent - Property	6/1/2021	6/10/2021
Active	Westfield Insurance Company	301950	Agent - Casualty	5/20/2014
Active	Westfield Insurance Company	301950	Agent - Property	5/20/2014
Inactive	Westfield Premier Insurance Company	1055055	Agent - Casualty	6/1/2021	6/10/2021
Inactive	Westfield Premier Insurance Company	1055055	Agent - Property	6/1/2021	6/10/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Casualty	6/1/2021	6/10/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Property	6/1/2021	6/10/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Casualty	6/1/2021	6/10/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Property	6/1/2021	6/10/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	E M Ford & Co LLC	399301	Agent - Property	1/31/2017
Active	E M Ford & Co LLC	399301	Agent - Casualty	1/31/2017
Inactive	Neely Insurance Agency, LLC	577942	Agent - Property	3/21/2014	3/31/2021
Inactive	Neely Insurance Agency, LLC	577942	Agent - Casualty	3/21/2014	3/31/2021