Agency Information

JEFF CHAMPINE AGENCY INC

Address:

88 INVERNESS CIR E UNIT N108

ENGLEWOOD, CO 80112

Phone

303-706-1766

URL:

Email:

jchampin@amfam.com

National Producer Number:

7442892

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	3125226	12/01/2015	Active	02/11/2019	02/29/2028

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	12/01/2015	Active	02/11/2019
Life	12/01/2015	Active	02/11/2019
Property	12/01/2015	Active	02/11/2019

Company Name	Appointment Type	Status	Active Date
126590
AMERICAN FAMILY INSURANCE COMPANY	Casualty	Active	02/21/2019
	Property	Active	02/21/2019
1742
Company Name	Appointment Type	Status	Active Date
AMERICAN FAMILY LIFE INSURANCE COMPANY	Life	Active	02/21/2019
1743
Company Name	Appointment Type	Status	Active Date
AMERICAN FAMILY MUTUAL INSURANCE COMPANY, S.I.	Casualty	Active	02/21/2019
	Property	Active	02/21/2019
1744
Company Name	Appointment Type	Status	Active Date
AMERICAN STANDARD INSURANCE COMPANY OF WISCONSIN	Casualty	Active	02/21/2019

row(s) 1 - 6 of 6

Name	Association Type	Agent	Begin Date	End Date
JEFFREY A CHAMPINE	Designated Resp Lic Prdcr	Yes	02/17/2021	-

1 - 1