black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

CHURCH MUTUAL INSURANCE COMPANY, S.I.

INSURANCE COMPANY

License Number:
PCF69099
Status:
First Licensure:
02/28/2000
Cancel Date:
None
Renewal Date:
08/10/2025
NAIC Code:
18767

Mailing:
3000 SCHUSTER LN
MERRILL, WI 54452-3863
Phone:
+1 (800) 554-2642
Email:
msmith@churchmutual.com

History

License Type Start Date End Date
INSURANCE COMPANY 02/28/2000 08/10/2025

Employee

Name Issue Date License Number Expiration Date Cancel Date
AGFINANCIAL INSURANCE LLC
10/11/2006 AGN95935
ARTHUR J GALLAGHER RISK MANAGEMENT SERVICES LLC
05/19/2022 AGN37963
BRAD S. BARTON
10/04/2017 PRN294599
JOSEPH BECKER
09/06/2022 PRN428768
ANNE BENNETT
01/31/2023 PRR371894
BROWN & BROWN OF GARDEN CITY INC
01/07/2021 AGN145223
ASTRID CAVAZOS
07/05/2023 PRN454166
ALISHA THERESA COLES
03/22/2024 PRN360583
CONRADE INSURANCE GROUP INC -000
05/27/2021 AGN355066
CHRISTOPHER A. CONRADE
06/03/2020 PRN354501
ZOLAIDA COOPER
03/24/2021 PRN101928
LORI A. COVELLI
08/04/2020 PRN357612
CROSS INSURANCE, INC. - MAINE
08/26/2019 AGR19087
CROSS INSURANCE, INC. - NEW HAMPSHIRE
08/26/2019 AGR136219
STEPHANIE L. DIMODICA
12/28/2022 PRR440159
RICHARD LEE DORMAN
05/15/2023 PRN435583
SUSAN M. DWELLEY
01/31/2023 PRR22058
EMERY & WEBB INC
09/27/2022 AGN15770
DAISY DE LOS MILAGROS FERRER
05/17/2023 PRN449841
FELICIA FOUTY
04/02/2025 PRN268684
FRED C CHURCH INC
07/24/2012 AGN50941
JAMES GARRETT III
07/25/2022 PRN371468
ANN H. GIVENS
01/09/2023 PRN440829
LEEANNE GUNTHER
12/09/2024 PRN502982
ALEXANDRIA HANNEMAN
08/07/2019 PRN335565
ZOEY JENE HEIMERL
11/16/2023 PRN469603
SCOTT MICHAEL HEMINGWAY
09/08/2021 PRR394527
CHRIS ALAN HIPPLE
06/22/2023 PRN176261
TODD MICHAEL HOYT
05/13/2008 PRR153459
LASASHA VERONN HUTTO
03/22/2024 PRN476348
CYNTHIA ANN JACOBSON
07/24/2018 PRN313021
TARA C. JARAMILLO
12/09/2024 PRN503087
VICTORIA L. KELSEY
01/05/2024 PRN360061
MELISA SUE KROPP
08/12/2020 PRN357939
MICHAEL D. LABADORF
11/04/2022 PRN31676
STEPHANIE LAMBRECHT
08/29/2022 PRN428254
STEFANIE A. LAPOINT
08/31/2023 PRN421513
LEAVITT RECREATION & HOSPITALITY INSURANCE INC
06/22/2023 AGN24460
JENNIFER LEWITZKE
06/19/2018 PRN311232
JEFFREY ADAM LIND
12/06/2024 PRR43610
LAKESHIA MICHELLE LYLES
02/17/2023 PRN443978
STEPHANIE NICOLE MALLORY
02/17/2023 PRN443336
MARSH & MCLENNAN AGENCY LLC
12/06/2024 AGN171044
MARSH USA LLC
02/10/2022 AGN37019
MARSHALL & STERLING INC
06/10/2024 AGN95646
ERIKA MICHELLE MARTINEZ
02/17/2023 PRN443961
BRIAN M. MASSEY
06/28/2021 PRN386116
YVONNE M. MCCREA
06/10/2024 PRN437990
ANGELA M. MCMASTERS
03/27/2025 PRN511201
NSM INSURANCE SERVICES LLC
04/22/2022 AGN99665
ANGELA OTT
08/04/2020 PRN357688
DEBORAH A. PARKER
02/10/2025 PRR54662
ALEXIS ANTONIO PEREZ
12/20/2018 PRN323316
EMILY PINKHAM
01/08/2025 PRR387021
WENDY G. RANGEL
04/03/2023 PRN446771
MICHAEL S. REILLY
02/06/2023 PRN244583
BETSY J. RELL
12/09/2024 PRN502988
JOANNA ELIZABETH REYES
12/26/2023 PRN472261
LORENZO ROCHA
03/22/2024 PRN288697
LAURA JO ROGGERO
12/13/2016 PRN279786
AMANDA RAE SABATKE
08/04/2020 PRN294610
JOSEPH W. SARAIVA
04/22/2022 PRN311041
ESTHER SCHULZ
04/24/2023 PRN449711
CHRIS O. SHARPE
01/31/2023 PRN204593
JERRY J. SPARKS
07/19/2007 PRN128391
NICOLE STEVENS
01/31/2023 PRR200790
HEIDI LUCILLE STEVENSON
07/27/2020 PRN357041
NANCY STOEL
07/23/2020 PRN356908
LIZ BETH SUAREZ
05/17/2023 PRN419655
TAKESHIA SULLIVAN
05/16/2022 PRN281026
KURT D. THORESEN
05/20/2022 PRN319849
JOHN C. WEBB III
09/27/2022 PRN189774
WENTWORTH DEANGELIS INC
05/07/2020 AGN52448
RALPH E. WENTWORTH
08/14/2023 PRN52447
YVONNE WILLIAMS
03/22/2024 PRN396063
EFFIE WILLIS
12/09/2024 PRN501820

Supervised Entity

None.

Authority

Description Issue Date Termination Date Status
FIRE 02/28/2000 Active
HOMEOWNERS MULTIPLE PERIL 02/28/2000 Active
COMMERCIAL MULTIPLE PERIL 02/28/2000 Active
INLAND MARINE 02/28/2000 Active
MEDICAL MALPRACTICE 02/28/2000 Active
WORKERS COMPENSATION 02/28/2000 Active
OTHER LIABILITY 02/28/2000 Active
AUTO LIABILITY 02/28/2000 Active
AUTO PHYS DAMAGE 02/28/2000 Active
FIDELITY 02/28/2000 Active
GLASS 02/28/2000 Active
BURGLARY AND THEFT 02/28/2000 Active
BOILER AND MACHINERY 02/28/2000 Active

Contacts

Type Contact
PRODUCER LICENSING CONTACT SHARON DAVISSON
SHARON DAVISSON
3000 SCHUSTER LN
MERRILL, WI 54452-3863
Phone: +1 (715) 536-5577
Email: sdavisson@churchmutual.com
WORKERS COMPENSATION CLAIMS JOY SLOGAR
CHURCH MUTUAL INSURANCE COMPANY
PO BOX 357
3000 SCHUSTER LN
MERRILL, WI 54452-3863
Phone: +1 (715) 536-5577
Fax: +1 (715) 539-4651
Email: jslogar@churchmutual.com
SERVICE OF PROCESS CORPORATION SERVICE COMPANY
45 MEMORIAL CIR
AUGUSTA, ME 04330-6400
Phone: +1 (800) 927-9800
Fax: +1 (302) 636-5454
Email: sop@cscglobal.com

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN)

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 05/13/2025 02:24:19 PM