Agency Information

CHAMPION INSURANCE GROUP LLP

116 S. WASHINGTON STREET

CONSTANTINE, MI 49042

888-363-2653

jeremiah@championinsurancegroup.com

18321388

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	3637800	02/22/2021	Active	02/22/2021	02/29/2024

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	02/22/2021	Active	02/22/2021
Property	02/22/2021	Active	02/22/2021

Company Name	Appointment Type	Status	Active Date
130977
ALLMERICA FINANCIAL ALLIANCE INSURANCE COMPANY	Casualty	Active	09/13/2021
1545
Company Name	Appointment Type	Status	Active Date
ALLMERICA FINANCIAL BENEFIT INSURANCE COMPANY	Casualty	Active	09/13/2021
14414
Company Name	Appointment Type	Status	Active Date
AMGUARD INSURANCE COMPANY	Casualty	Active	10/05/2022
	Property	Active	10/05/2022
110894
Company Name	Appointment Type	Status	Active Date
CITIZENS INSURANCE COMPANY OF AMERICA	Casualty	Active	09/13/2021
115655
Company Name	Appointment Type	Status	Active Date
HANOVER AMERICAN INSURANCE COMPANY, THE	Casualty	Active	09/13/2021
304
Company Name	Appointment Type	Status	Active Date
HANOVER INSURANCE COMPANY, THE	Casualty	Active	09/13/2021
1105
Company Name	Appointment Type	Status	Active Date
MARKEL INSURANCE COMPANY	Casualty	Active	11/15/2021
	Property	Active	11/15/2021
110699
Company Name	Appointment Type	Status	Active Date
MASSACHUSETTS BAY INSURANCE COMPANY	Casualty	Active	09/13/2021
14415
Company Name	Appointment Type	Status	Active Date
NORGUARD INSURANCE COMPANY	Casualty	Active	10/05/2022
1776
Company Name	Appointment Type	Status	Active Date
OHIO SECURITY INSURANCE COMPANY	Casualty	Active	07/26/2021
	Property	Active	07/26/2021
1669
Company Name	Appointment Type	Status	Active Date
VERLAN FIRE INSURANCE COMPANY	Casualty	Active	09/13/2021

row(s) 1 - 14 of 14

Name	Association Type	Agent	Begin Date	End Date
MICHELLA MARIE DANGLER	Designated Resp Lic Prdcr	No	02/22/2021	-

1 - 1