DEPARTMENT OF INSURANCE
Insurer Details
NAMEChurch Mutual Insurance Company, S.I.
DOI ID301554
FEIN #390712210
ALIEN #
State of DomicileWI
Domicile Country
Merged Into
NAIC #18767
NAIC Group #4851
Entity TypeInsurer
Admitted8/23/1957
AM Best Rating
PresidentAlan Scott Ogilvie
Process AgentCorporation Service Company
Date Assigned : 12/6/2012
(See address table below for process agent address)

Authorized Insurer – these insurers are authorized to do the business of insurance by holding a Kentucky Certificate of Authority. Provides insurance coverage.
Line(s) of Authority
Property
Casualty
Vehicle Insurance
Liability Insurance
Workers' Compensation & Employer's Liability
Burglary & Theft
Personal Property Floater
Glass
Boiler & Machinery
Leakage & Fire Extinguishing Equipment
Malpractice
Miscellaneous
Marine & Transportation
TypeAddress
Agent Licensing Address3000 Schuster Lane Merrill, WI 54452
Annual Statement3000 Schuster Lane Merrill, WI 54452
Catastrophe/Disaster Coordinator Address3000 Schuster Lane Merrill, WI 54452
Claim Information Contact Address3000 Schuster Lane Merrill, WI 54452
Company Licenses/Fee Contact Address3000 Schuster Lane Merrill, WI 54452
Consumer Complaint3000 Schuster Lane Merrill, WI 54452
Deposits Contact Address3000 Schuster Lane Merrill, WI 54452
Local Domestic/Foreign State Contact Address3000 Schuster Lane Merrill, WI 54452
MailingP.O. Box 357 Merrill, WI 54452
Managing General Agent3000 Schuster Lane Merrill, WI 54452
P & C Form and Rate Filing3000 Schuster Lane Merrill, WI 54452
Policyholder Information Contact Address3000 Schuster Lane Merrill, WI 54452
Premium Tax Address3000 Schuster Lane Merrill, WI 54452
Process Agent421 West Main Street Frankfort, KY 40601
Regulatory Compliance/Gvmt Relations Contact Address3000 Schuster Lane Merrill, WI 54452
Statutory Home Office3000 Schuster Lane Merrill, WI 54452
U.S. Legal Counsel for Aliens3000 Schuster Lane Merrill, WI 54452
TypeNumber
Local Office in Domestic/Foreign State Contact - Business / Home Office(715) 536-5577
Business / Home Office(715) 536-5577
Catastrophe/Disaster Coordination Contact - Business / Home Office(715) 536-5577
Company Licenses/Fees Contact - Business / Home Office(715) 536-5577
Consumer Complaint - Business / Home Office(715) 536-5577
Deposits Contact - Business / Home Office(715) 536-5577
P & C Form and Rate Filing - Business / Home Office(715) 536-5577
U.S. Legal Counsel for aliens - Business / Home Office(715) 536-5577
Managing General Agent - Business / Home Office(715) 536-5577
Policyholder Information Contact - Business / Home Office(715) 536-5577
Regulatory Compliance/Gvmt Relations Contact - Business / Home Office(715) 536-5577
Licensing - Agent Licensing Phone(715) 536-5577
Annual Statement - Annual Statement(715) 536-5577
Premium Tax Contact - Premium Tax (715) 536-5577
TypeInternet Information
Annual Statement - Business Emaildsippel@churchmutual.com
Catastrophe/Disaster Coordination Contact - Business Emailclaims@churchmutual.com
Claim Information Contact - Business Emailbhowe@churchmutual.com
Company Licenses/Fees Contact - Business Emailmkluck@churchmutual.com
Consumer Complaint - Business Emailethics@churchmutual.com
Deposits Contact - Business Emailgedwards@churchmutual.com
P & C Form and Rate Filing - Business Emailmleke@churchmutual.com
U.S. Legal Counsel for aliens - Business Emailmsmith@churchmutual.com
Local Office in Domestic/Foreign State Contact - Business Emailmsmith@churchmutual.com
Managing General Agent - Business Emaildsippel@churchmutual.com
Policyholder Information Contact - Business Emailcustomerservice@churchmutual.com
Premium Tax Contact - Business Emailmkluck@churchmutual.com
Licensing - Business Emailsdavisson@churchmutual.com
Regulatory Compliance/Gvmt Relations Contact - Internetethics@churchmutual.com

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