Agency Information

CHURCH & CASUALTY INS AGENCY INC

Address:

3440 IRVINE AVE STE 150

NEWPORT BEACH, CA 92660-3121

Phone

800-995-7525

URL:

Email:

travis@ccia.com

National Producer Number:

2744414

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	1004480	12/09/2014	Active	12/09/2014	12/31/2026

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	12/09/2014	Active	12/09/2014
Health	12/09/2014	Active	12/09/2014
Life	12/09/2014	Active	12/09/2014
Property	12/09/2014	Active	12/09/2014

Company Name	Appointment Type	Status	Active Date
49
AMERICAN HOME ASSURANCE COMPANY	Health	Active	10/05/2023
1530
Company Name	Appointment Type	Status	Active Date
CHURCH MUTUAL INSURANCE COMPANY, S.I.	Casualty	Active	04/01/2015
	Property	Active	04/01/2015
156201
Company Name	Appointment Type	Status	Active Date
CM SELECT INSURANCE COMPANY	Casualty	Active	06/08/2021
	Property	Active	06/08/2021
456
Company Name	Appointment Type	Status	Active Date
NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH PA	Health	Active	10/05/2023
492
Company Name	Appointment Type	Status	Active Date
OHIO CASUALTY INSURANCE COMPANY, THE	Casualty	Active	01/14/2020
	Property	Active	01/14/2020

row(s) 1 - 8 of 8

Name	Association Type	Agent	Begin Date	End Date
GUADALUPE MEDINA IBARRA	Designated Resp Lic Prdcr	Yes	05/09/2023	-
TAMI LEE AKKERMAN	Designated Resp Lic Prdcr	Yes	05/09/2023	-
TRAVIS TAD TJEPKEMA	Designated Resp Lic Prdcr	Yes	09/21/2020	-

1 - 3