DEPARTMENT OF INSURANCE
Affiliations
NameChatham, Thomas WDOIID350992NAIC NPN331830
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentCasualty8/15/2000 10/31/2025
ActiveNon ResidentAgentProperty8/15/2000 10/31/2025
ActiveNon ResidentAgentHealth6/20/1995 10/31/2025
ActiveNon ResidentAgentLife6/20/1995 10/31/2025
InactiveNon ResidentAgentHealth Maintenance Organization1/27/19983/1/2001 
InactiveNon ResidentAgentGeneral Lines8/12/19888/15/2000 
ActiveNon ResidentSurplus Lines BrokerNot Applicable3/14/2017 10/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent08/15/202510/31/2025   
Surplus Lines Broker08/15/202510/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveACE American Insurance Company300625Agent - Casualty8/15/2000 
InactiveACE American Insurance Company300625Agent - General Lines9/27/19918/15/2000
ActiveACE American Insurance Company300625Agent - Property8/15/2000 
InactiveACE Fire Underwriters Insurance Company301679Agent - Casualty8/15/200011/21/2002
InactiveACE Fire Underwriters Insurance Company301679Agent - General Lines9/27/19918/15/2000
InactiveACE Fire Underwriters Insurance Company301679Agent - Property8/15/200011/21/2002
ActiveACE Property and Casualty Insurance Company300520Agent - Casualty8/15/2000 
InactiveACE Property and Casualty Insurance Company300520Agent - General Lines9/27/19918/15/2000
ActiveACE Property and Casualty Insurance Company300520Agent - Property8/15/2000 
InactiveACUITY, A Mutual Insurance Company300095Agent - Casualty8/27/201512/19/2023
InactiveACUITY, A Mutual Insurance Company300095Agent - Property8/27/201512/19/2023
InactiveAetna Health Inc.300694Agent - Health8/24/200112/31/2007
InactiveAetna Health Inc. (PA)660717Agent - Health12/31/200710/3/2011
InactiveAetna Life Insurance Company301140Agent - Health8/24/200110/3/2011
InactiveAetna Life Insurance Company301140Agent - Life8/24/200110/3/2011
InactiveAmerican General Life Insurance Company301585Agent - Health3/31/20035/6/2009
InactiveAmerican General Life Insurance Company301585Agent - Life3/31/20035/6/2009
InactiveAmerican States Insurance Company301230Agent - General Lines8/12/19883/31/1998
InactiveAnthem Life Insurance Company301209Agent - Health8/25/20002/1/2005
InactiveAnthem Life Insurance Company301209Agent - Life8/25/20002/1/2005
ActiveBankers Standard Insurance Company301620Agent - Casualty11/30/2006 
ActiveBankers Standard Insurance Company301620Agent - Property11/30/2006 
InactiveBerkshire Life Insurance Company of America300983Agent - Health12/2/20035/11/2006
InactiveBerkshire Life Insurance Company of America300983Agent - Life12/2/20035/11/2006
InactiveBuckeye Union Insurance Company (The)300597Agent - General Lines8/30/19883/31/1998
InactiveCentury Indemnity Company301310Agent - General Lines9/27/19913/31/1998
ActiveContinental Insurance Company (The)301242Agent - Casualty12/29/2022 
InactiveContinental Insurance Company (The)301242Agent - General Lines8/30/19888/15/2000
ActiveContinental Insurance Company (The)301242Agent - Property12/29/2022 
InactiveDental Concern Inc. (The)301641Agent - Health3/21/200912/3/2009
ActiveEmployers Insurance Company of Wausau301813Agent - Casualty2/23/2012 
ActiveEmployers Insurance Company of Wausau301813Agent - Property2/23/2012 
InactiveEmployers Mutual Casualty Company300202Agent - Casualty8/15/20003/16/2006
InactiveEmployers Mutual Casualty Company300202Agent - General Lines8/3/20008/15/2000
InactiveEmployers Mutual Casualty Company300202Agent - Property8/15/20003/16/2006
ActiveFCCI Insurance Company557454Agent - Casualty4/23/2003 
ActiveFCCI Insurance Company557454Agent - Property4/23/2003 
ActiveFederal Insurance Company301144Agent - Casualty8/15/2000 
InactiveFederal Insurance Company301144Agent - General Lines5/28/19928/15/2000
ActiveFederal Insurance Company301144Agent - Property8/15/2000 
ActiveFirst Liberty Insurance Corporation (The)301060Agent - Casualty2/23/2012 
ActiveFirst Liberty Insurance Corporation (The)301060Agent - Property2/23/2012 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty7/14/2004 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property7/14/2004 
InactiveGeneral Casualty Company of Wisconsin300930Agent - Casualty8/15/20005/18/2006
InactiveGeneral Casualty Company of Wisconsin300930Agent - General Lines10/2/19968/15/2000
InactiveGeneral Casualty Company of Wisconsin300930Agent - Property8/15/20005/18/2006
InactiveGlobe American Casualty Company301033Agent - General Lines5/31/19958/15/2000
InactiveGrange Indemnity Insurance Company300793Agent - Casualty3/10/20093/22/2017
InactiveGrange Indemnity Insurance Company300793Agent - Property3/10/20093/22/2017
InactiveGrange Insurance Company300234Agent - Casualty3/10/20093/23/2017
InactiveGrange Insurance Company300234Agent - Property3/10/20093/23/2017
InactiveGreat American Alliance Insurance Company301247Agent - Casualty10/30/200010/9/2001
InactiveGreat American Alliance Insurance Company301247Agent - Property10/30/200010/9/2001
InactiveGreat American Insurance Company301586Agent - Casualty9/27/20046/25/2008
InactiveGreat American Insurance Company301586Agent - General Lines12/31/19988/15/2000
InactiveGreat American Insurance Company301586Agent - Property9/27/20046/25/2008
InactiveGreat American Insurance Company of New York301897Agent - Casualty9/27/20046/25/2008
InactiveGreat American Insurance Company of New York301897Agent - General Lines6/23/19988/15/2000
InactiveGreat American Insurance Company of New York301897Agent - Property9/27/20046/25/2008
InactiveGreat American Security Insurance Company301228Agent - Casualty12/4/200010/9/2001
InactiveGreat American Security Insurance Company301228Agent - Property12/4/200010/9/2001
ActiveGreat Northern Insurance Company301107Agent - Casualty1/4/2018 
ActiveGreat Northern Insurance Company301107Agent - Property1/4/2018 
InactiveGuardian Life Insurance Company of America301316Agent - Health12/2/20035/11/2006
InactiveGuardian Life Insurance Company of America301316Agent - Life12/2/20035/11/2006
ActiveGuideOne Elite Insurance Company300490Agent - Casualty4/15/2024 
ActiveGuideOne Elite Insurance Company300490Agent - Property4/15/2024 
ActiveGuideOne Insurance Company301794Agent - Casualty4/15/2024 
ActiveGuideOne Insurance Company301794Agent - Property4/15/2024 
ActiveGuideOne Specialty Insurance Company300278Agent - Casualty4/15/2024 
ActiveGuideOne Specialty Insurance Company300278Agent - Property4/15/2024 
InactiveHamilton Mutual Insurance Company301111Agent - Casualty8/15/20003/16/2006
InactiveHamilton Mutual Insurance Company301111Agent - General Lines8/3/20008/15/2000
InactiveHamilton Mutual Insurance Company301111Agent - Property8/15/20003/16/2006
ActiveHartford Accident and Indemnity Company301917Agent - Casualty3/26/2012 
ActiveHartford Accident and Indemnity Company301917Agent - Property3/26/2012 
InactiveHartford Casualty Insurance Company301332Agent - Casualty6/5/200711/19/2009
InactiveHartford Casualty Insurance Company301332Agent - Property6/5/200711/19/2009
ActiveHartford Fire Insurance Company300628Agent - Casualty6/5/2007 
ActiveHartford Fire Insurance Company300628Agent - Property6/5/2007 
ActiveHartford Insurance Company of the Midwest301918Agent - Casualty6/5/2007 
ActiveHartford Insurance Company of the Midwest301918Agent - Property6/5/2007 
InactiveHartford Underwriters Insurance Company301064Agent - Casualty6/5/200711/5/2008
InactiveHartford Underwriters Insurance Company301064Agent - Property6/5/200711/5/2008
InactiveHumana Health Plan, Inc.300142Agent - Health3/1/200112/3/2009
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization10/6/19983/1/2001
InactiveHumana Insurance Company301104Agent - Health9/9/199812/3/2009
InactiveHumana Insurance Company301104Agent - Life9/9/199812/3/2009
InactiveHumana Insurance Company of Kentucky300826Agent - Health1/30/200412/3/2009
InactiveHumana Insurance Company of Kentucky300826Agent - Life1/30/200412/3/2009
ActiveIndemnity Insurance Company of North America301760Agent - Casualty8/15/2000 
InactiveIndemnity Insurance Company of North America301760Agent - General Lines9/27/19918/15/2000
ActiveIndemnity Insurance Company of North America301760Agent - Property8/15/2000 
InactiveInsurance Company of North America300226Agent - Casualty8/15/200011/21/2002
InactiveInsurance Company of North America300226Agent - General Lines9/27/19918/15/2000
InactiveInsurance Company of North America300226Agent - Property8/15/200011/21/2002
InactiveKanawha Insurance Company300127Agent - Health4/10/200812/3/2009
InactiveKanawha Insurance Company300127Agent - Life4/10/200812/3/2009
ActiveLM Insurance Corporation301061Agent - Casualty2/23/2012 
ActiveLM Insurance Corporation301061Agent - Property2/23/2012 
ActiveLiberty Insurance Corporation300444Agent - Casualty2/23/2012 
ActiveLiberty Insurance Corporation300444Agent - Property2/23/2012 
ActiveLiberty Mutual Fire Insurance Company301913Agent - Casualty2/23/2012 
ActiveLiberty Mutual Fire Insurance Company301913Agent - Property2/23/2012 
ActiveLiberty Mutual Insurance Company301159Agent - Casualty2/23/2012 
ActiveLiberty Mutual Insurance Company301159Agent - Property2/23/2012 
ActiveMonroe Guaranty Insurance Company300771Agent - Casualty6/24/2002 
ActiveMonroe Guaranty Insurance Company300771Agent - Property6/24/2002 
ActiveMotorists Commercial Mutual Insurance Company301941Agent - Casualty12/30/2024 
ActiveMotorists Commercial Mutual Insurance Company301941Agent - Property12/30/2024 
InactiveNational Interstate Insurance Company301301Agent - Casualty10/24/201311/22/2016
InactiveNational Interstate Insurance Company301301Agent - Property10/24/201311/22/2016
ActiveNational Trust Insurance Company300367Agent - Casualty6/24/2002 
ActiveNational Trust Insurance Company300367Agent - Property6/24/2002 
InactiveOhio Farmers Insurance Company301667Agent - Casualty8/15/20003/1/2004
InactiveOhio Farmers Insurance Company301667Agent - General Lines5/18/19928/15/2000
InactiveOhio Farmers Insurance Company301667Agent - Property8/15/20003/1/2004
InactiveOld Line Life Insurance Company of America (The)301709Agent - Health4/26/20013/31/2003
InactiveOld Line Life Insurance Company of America (The)301709Agent - Life4/26/20013/31/2003
InactivePacific Employers Insurance Company301753Agent - Casualty8/15/200011/21/2002
InactivePacific Employers Insurance Company301753Agent - General Lines9/27/19918/15/2000
InactivePacific Employers Insurance Company301753Agent - Property8/15/200011/21/2002
InactivePrincipal Life Insurance Company300129Agent - Health7/19/199511/30/2003
InactivePrincipal Life Insurance Company300129Agent - Life7/19/199511/30/2003
ActiveProperty and Casualty Insurance Company of Hartford301409Agent - Casualty4/9/2025 
ActiveProperty and Casualty Insurance Company of Hartford301409Agent - Property4/9/2025 
InactiveProvident Life and Accident Insurance Company301525Agent - Health7/9/20033/9/2016
InactiveProvident Life and Accident Insurance Company301525Agent - Life7/9/20033/9/2016
InactiveRegent Insurance Company300411Agent - Casualty8/15/20005/18/2006
InactiveRegent Insurance Company300411Agent - General Lines8/3/19998/15/2000
InactiveRegent Insurance Company300411Agent - Property8/15/20005/18/2006
InactiveSelective Insurance Company of America500018Agent - Casualty12/20/20001/15/2009
InactiveSelective Insurance Company of America500018Agent - Property12/20/20001/15/2009
InactiveSelective Insurance Company of South Carolina500012Agent - Casualty12/20/20001/15/2009
InactiveSelective Insurance Company of South Carolina500012Agent - Property12/20/20001/15/2009
InactiveSelective Insurance Company of the Southeast300381Agent - Casualty12/20/20001/15/2009
InactiveSelective Insurance Company of the Southeast300381Agent - Property12/20/20001/15/2009
ActiveSentinel Insurance Company, Limited501696Agent - Casualty2/22/2016 
ActiveSentinel Insurance Company, Limited501696Agent - Property2/22/2016 
InactiveState Auto Property & Casualty Insurance Company301953Agent - Casualty8/15/20004/15/2005
InactiveState Auto Property & Casualty Insurance Company301953Agent - General Lines4/4/19968/15/2000
InactiveState Auto Property & Casualty Insurance Company301953Agent - Property8/15/20004/15/2005
InactiveState Automobile Mutual Insurance Company301824Agent - Casualty8/15/20004/15/2005
InactiveState Automobile Mutual Insurance Company301824Agent - General Lines4/4/19968/15/2000
InactiveState Automobile Mutual Insurance Company301824Agent - Property8/15/20004/15/2005
InactiveTime Insurance Company300683Agent - Health6/20/19954/19/2004
InactiveTime Insurance Company300683Agent - Life6/20/19954/19/2004
InactiveTrustgard Insurance Company300104Agent - Casualty3/10/20093/22/2017
InactiveTrustgard Insurance Company300104Agent - Property3/10/20093/22/2017
ActiveTwin City Fire Insurance Company300721Agent - Casualty6/5/2007 
ActiveTwin City Fire Insurance Company300721Agent - Property6/5/2007 
InactiveU.S. Specialty Insurance Company300186Agent - Casualty8/15/20004/19/2004
InactiveU.S. Specialty Insurance Company300186Agent - General Lines3/3/20008/15/2000
InactiveU.S. Specialty Insurance Company300186Agent - Property8/15/20004/19/2004
InactiveUnited Heartland Life Insurance Company517547Agent - Health4/5/20017/10/2006
InactiveUnited Heartland Life Insurance Company517547Agent - Life4/5/20017/10/2006
InactiveUnited Wisconsin Insurance Company301103Agent - Health3/27/20007/10/2006
InactiveUnitedHealthcare Insurance Company300946Agent - Health10/26/200612/12/2009
InactiveUnitedHealthcare Insurance Company300946Agent - Life10/26/200612/12/2009
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health10/26/200612/12/2009
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health10/26/200612/12/2009
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health Maintenance Organization1/27/19983/1/2001
InactiveWausau Business Insurance Company301476Agent - Casualty2/23/20123/31/2015
InactiveWausau Business Insurance Company301476Agent - Property2/23/20123/31/2015
InactiveWausau Underwriters Insurance Company301105Agent - Casualty2/23/20128/31/2015
InactiveWausau Underwriters Insurance Company301105Agent - Property2/23/20128/31/2015
ActiveWest Bend Insurance Company672974Agent - Casualty7/24/2023 
ActiveWest Bend Insurance Company672974Agent - Property7/24/2023 
InactiveWestfield Insurance Company301950Agent - Casualty8/15/20003/1/2004
InactiveWestfield Insurance Company301950Agent - General Lines5/18/19928/15/2000
InactiveWestfield Insurance Company301950Agent - Property8/15/20003/1/2004
InactiveWestfield National Insurance Company301036Agent - Casualty8/15/20003/1/2004
InactiveWestfield National Insurance Company301036Agent - General Lines12/30/19978/15/2000
InactiveWestfield National Insurance Company301036Agent - Property8/15/20003/1/2004
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArison Insurance Services, Inc.401001Agent - Life6/15/200011/14/2002
InactiveArison Insurance Services, Inc.401001Agent - Health6/15/200011/14/2002
InactiveO'Leary-Kientz, Inc520321Agent - Life7/19/20011/29/2004
InactiveO'Leary-Kientz, Inc520321Agent - Health7/19/20011/29/2004
InactiveO'Leary-Kientz, Inc520321Agent - Property8/15/20001/29/2004
InactiveO'Leary-Kientz, Inc520321Agent - Casualty8/15/20001/29/2004
InactiveUSI Midwest LLC517736Agent - Life1/29/20043/9/2016
InactiveUSI Midwest LLC517736Agent - Health1/29/20043/9/2016
InactiveUSI Midwest LLC517736Agent - Property1/29/20048/18/2016
InactiveUSI Midwest LLC517736Agent - Casualty1/29/20048/18/2016
InactiveUsi Insurance Services LLC669260Agent - Life1/5/20163/9/2016
InactiveUsi Insurance Services LLC669260Agent - Health1/5/20163/9/2016
ActiveUsi Insurance Services LLC669260Agent - Property1/5/2016 
ActiveUsi Insurance Services LLC669260Agent - Casualty1/5/2016 

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