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
Business / Home Office3000 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
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
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
TypeNumber
Managing General Agent - 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) 539-4557
Consumer Complaint - Business / Home Office(715) 539-4699
Local Office in Domestic/Foreign State Contact - Business / Home Office(715) 536-5577
Policyholder Information Contact - Business / Home Office(715) 536-5577
Regulatory Compliance/Gvmt Relations Contact - Business / Home Office(715) 539-4699
Business / Home Office(715) 539-4191
Cyber Security - Business / Home Office(715) 539-4244
Licensing - Agent Licensing Phone(715) 804-7152
Annual Statement - Annual Statement(715) 539-4557
Premium Tax Contact - Premium Tax (715) 539-4557
TypeInternet Information
Regulatory Compliance/Gvmt Relations Contact - Internetethics@churchmutual.com
Annual Statement - Business Emailtaxes@churchmutual.com
Catastrophe/Disaster Coordination Contact - Business Emailclaims@churchmutual.com
Claim Information Contact - Business Emailsmikunda@churchmutual.com
Company Licenses/Fees Contact - Business Emailtaxes@churchmutual.com
Consumer Complaint - Business Emailethics@churchmutual.com
Local Office in Domestic/Foreign State Contact - Business Emailcmlegalreviews@churchmutual.com
Managing General Agent - Business Emaildsippel@churchmutual.com
Policyholder Information Contact - Business Emailcustomerservice@churchmutual.com
Premium Tax Contact - Business Emailtaxes@churchmutual.com
Licensing - Business Emailadjusterlicensing@churchmutual.com
Cyber Security - Business Emailcvandenheuvel@churchmutual.com

© Commonwealth of Kentucky. All rights reserved.