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	Property	3/18/2014	10/31/2026
Active	Resident	Agent	Casualty	3/18/2014	10/31/2026
* 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	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
Active	MICO Insurance Company	301664	Agent - Casualty	10/15/2024
Active	MICO Insurance Company	301664	Agent - Property	10/15/2024
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
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Casualty	5/19/2017	10/23/2024
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Property	5/19/2017	10/23/2024
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