Individual Information

DARRELL WICKHAM

MERIDIAN, ID 83642-7646

Active

darrell.wickham@countryfinancial.com

09/08/2021

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3719255	09/08/2021	Active	09/08/2021	09/30/2027

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	09/08/2021	Active	09/08/2021
Life	09/08/2021	Active	09/08/2021
Personal Property Storage	09/08/2021	Active	09/08/2021
Property	09/08/2021	Active	09/08/2021

Company Name	Appointment Type	Status	Active Date
1639
COAST NATIONAL INSURANCE COMPANY	Casualty	Active	10/14/2021
1334
Company Name	Appointment Type	Status	Active Date
COUNTRY CASUALTY INSURANCE COMPANY	Casualty	Active	09/14/2021
	Property	Active	09/14/2021
1369
Company Name	Appointment Type	Status	Active Date
COUNTRY LIFE INSURANCE COMPANY	Life	Active	09/14/2021
1359
Company Name	Appointment Type	Status	Active Date
COUNTRY MUTUAL INSURANCE COMPANY	Casualty	Active	09/14/2021
	Property	Active	09/14/2021
1368
Company Name	Appointment Type	Status	Active Date
COUNTRY PREFERRED INSURANCE COMPANY	Casualty	Active	09/14/2021
	Property	Active	09/14/2021
261
Company Name	Appointment Type	Status	Active Date
FOREMOST INSURANCE COMPANY GRAND RAPIDS MICHIGAN	Casualty	Active	10/14/2021
	Property	Active	10/14/2021
1261
Company Name	Appointment Type	Status	Active Date
UNITED FINANCIAL CASUALTY COMPANY	Casualty	Active	10/07/2024
	Property	Active	10/07/2024

row(s) 1 - 12 of 12

Organization	Association Type	Type	Beg dte	End dte
CC SERVICES INC	Designated Resp Lic Prdcr	Agency	09/14/2021	-

1 - 1