DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Baldwin Group West, LLC, The	DOIID	1194826	NAIC NPN	7628660

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	3/4/2025		3/31/2026
Active	Non Resident	Agent	Health	11/18/2024		3/31/2026
Active	Non Resident	Agent	Property	3/4/2025		3/31/2026
Active	Non Resident	Agent	Life	11/18/2024		3/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	3/4/2025		3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2026	03/31/2026
Surplus Lines Broker	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	11/21/2024
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	11/21/2024
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	4/25/2022	10/16/2024
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	4/25/2022	10/16/2024
Inactive	Starmount Life Insurance Company	628031	Agent - Health	4/25/2022	10/16/2024
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	4/25/2022	10/16/2024
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	4/25/2022	10/16/2024
Inactive	Unum Insurance Company	301499	Agent - Health	4/25/2022	10/16/2024
Inactive	Unum Insurance Company	301499	Agent - Life	4/25/2022	10/16/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allison, Kristen Mauger	787099	Agent - Health	3/22/2022	5/22/2024
Inactive	Allison, Kristen Mauger	787099	Agent - Life	3/22/2022	5/22/2024
Active	Foderaro, William Brandon	1336951	Agent - Health	11/18/2024
Active	Foderaro, William Brandon	1336951	Agent - Life	11/18/2024
Active	Somerville, Maggie Sue	1137280	Agent - Casualty	3/4/2025
Active	Somerville, Maggie Sue	1137280	Agent - Health	11/25/2024
Active	Somerville, Maggie Sue	1137280	Agent - Life	11/25/2024
Active	Somerville, Maggie Sue	1137280	Agent - Property	3/4/2025
Active	Somerville, Maggie Sue	1137280	Surplus Lines Broker - Not Applicable	3/4/2025