Agency Information

CHOICEMARK INS SERVICES INC -000

Address:

6800 W 115TH ST

OVERLAND PARK, KS 66211

Phone

913-951-2398

URL:

Email:

licensing@sqah.com

National Producer Number:

16809586

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	860040	12/31/2012	Active	11/16/2016	11/30/2025

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	12/31/2012	Active	11/16/2016
Property	12/31/2012	Active	11/16/2016

Company Name	Appointment Type	Status	Active Date
579
SAFECO INSURANCE COMPANY OF AMERICA	Casualty	Active	01/09/2023
	Property	Active	01/09/2023
1420
Company Name	Appointment Type	Status	Active Date
SAFECO INSURANCE COMPANY OF ILLINOIS	Casualty	Active	01/09/2023
	Property	Active	01/09/2023

row(s) 1 - 4 of 4

Name	Association Type	Agent	Begin Date	End Date
ERICA MARIE DEBELL RIOS	Designated Resp Lic Prdcr	Yes	01/13/2025	-

1 - 1