DEPARTMENT OF INSURANCE

Affiliations

Name	The MPM Group LLC	DOIID	550302	NAIC NPN	7307352

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Life	6/10/2002	3/31/2026
Active	Resident	Agent	Casualty	5/30/2002	3/31/2026
Active	Resident	Agent	Health	6/10/2002	3/31/2026
Active	Resident	Agent	Property	5/30/2002	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

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc.	300694	Agent - Health	9/12/2002	12/31/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	10/19/2017	7/27/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/19/2017	7/27/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/19/2017	7/27/2022
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	4/3/2007	5/20/2008
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	4/3/2007	5/20/2008
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Health	4/15/2003	2/13/2008
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Life	4/15/2003	2/13/2008
Active	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	5/1/2007
Active	American Guarantee and Liability Insurance Company	301216	Agent - Property	5/1/2007
Active	American Heritage Life Insurance Company	300272	Agent - Health	4/2/2003
Active	American Heritage Life Insurance Company	300272	Agent - Life	4/2/2003
Active	American Zurich Insurance Company	300592	Agent - Casualty	5/1/2007
Active	American Zurich Insurance Company	300592	Agent - Property	5/1/2007
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/12/2006	10/20/2018
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	1/12/2006	10/16/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/17/2018	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/17/2018	4/15/2025
Inactive	Assurity Life Insurance Company	301099	Agent - Health	4/24/2022	12/6/2024
Inactive	Assurity Life Insurance Company	301099	Agent - Life	4/24/2022	12/6/2024
Active	Banner Life Insurance Company	301696	Agent - Life	9/16/2013
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	12/5/2006	3/31/2019
Inactive	Conseco Health Insurance Company	301725	Agent - Health	7/27/2010	10/1/2010
Inactive	Conseco Health Insurance Company	301725	Agent - Life	7/27/2010	10/1/2010
Inactive	Conseco Insurance Company	301202	Agent - Health	7/27/2010	10/1/2010
Inactive	Conseco Insurance Company	301202	Agent - Life	7/27/2010	10/1/2010
Inactive	Continental American Insurance Company	301700	Agent - Health	12/12/2005	12/26/2024
Inactive	Continental American Insurance Company	301700	Agent - Life	12/12/2005	12/26/2024
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	10/19/2017	6/15/2022
Inactive	Farmers Casualty Insurance Company	301616	Agent - Casualty	5/30/2002	6/3/2009
Inactive	Farmers Casualty Insurance Company	301616	Agent - Property	5/30/2002	6/3/2009
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	5/30/2002	6/3/2009
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	5/30/2002	6/3/2009
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	5/30/2002	6/3/2009
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	5/30/2002	6/3/2009
Active	Fidelity Security Life Insurance Company	300466	Agent - Health	5/7/2003
Active	Fidelity Security Life Insurance Company	300466	Agent - Life	5/7/2003
Active	HCC Life Insurance Company	301827	Agent - Health	7/31/2019
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	4/14/2005
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	4/14/2005
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/23/2005	9/9/2010
Inactive	Humana Insurance Company	301104	Agent - Health	5/23/2005	9/9/2010
Inactive	Humana Insurance Company	301104	Agent - Life	5/23/2005	9/9/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/23/2005	9/9/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/23/2005	9/9/2010
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	10/27/2005	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	10/27/2005	7/2/2007
Inactive	John Hancock Life & Health Insurance Company	300450	Agent - Health	4/9/2009	5/24/2017
Inactive	John Hancock Life & Health Insurance Company	300450	Agent - Life	4/9/2009	5/24/2017
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	6/30/2005	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	6/30/2005	12/30/2009
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	12/30/2009
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	12/30/2009
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	6/30/2007
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	6/30/2007
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	5/30/2002	6/3/2009
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	5/30/2002	6/3/2009
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	6/10/2002	12/17/2014
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	6/10/2002	12/17/2014
Active	Minnesota Life Insurance Company	300488	Agent - Health	11/21/2006
Active	Minnesota Life Insurance Company	300488	Agent - Life	11/21/2006
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	5/12/2014	4/26/2019
Active	Pacific Life Insurance Company	301848	Agent - Life	10/9/2020
Active	Principal Life Insurance Company	300129	Agent - Health	1/29/2007
Active	Principal Life Insurance Company	300129	Agent - Life	1/29/2007
Active	Principal National Life Insurance Company	301926	Agent - Life	9/13/2016
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	1/17/2005	12/30/2009
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	1/17/2005	12/30/2009
Inactive	Pruco Life Insurance Company	300954	Agent - Life	5/31/2017	12/23/2024
Active	Prudential Insurance Company of America	300784	Agent - Health	5/17/2022
Active	Prudential Insurance Company of America	300784	Agent - Life	5/17/2022
Active	Standard Insurance Company	300185	Agent - Health	1/7/2025
Active	Standard Insurance Company	300185	Agent - Life	1/7/2025
Active	Swiss Re Corporate Solutions America Insurance Corporation	300338	Agent - Health	5/11/2021
Active	Transamerica Life Insurance Company	300571	Agent - Health	10/20/2024
Active	Transamerica Life Insurance Company	300571	Agent - Life	10/20/2024
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	1/28/2003	10/5/2005
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	1/28/2003	10/5/2005
Active	Trustmark Insurance Company	300317	Agent - Health	1/20/2008
Active	Trustmark Insurance Company	300317	Agent - Life	1/20/2008
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	4/24/2007	10/24/2007
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	1/17/2005	12/30/2009
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	1/17/2005	12/30/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/9/2004	11/30/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	1/9/2004	11/30/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	1/9/2004	11/30/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	1/9/2004	11/30/2016
Inactive	Washington National Insurance Company	300587	Agent - Health	10/1/2010	2/27/2014
Inactive	Washington National Insurance Company	300587	Agent - Life	10/1/2010	2/27/2014
Active	Wellpoint Life and Health Insurance Company	300469	Agent - Health	8/10/2006
Active	Wellpoint Life and Health Insurance Company	300469	Agent - Life	8/10/2006
Inactive	Westport Insurance Corporation	301875	Agent - Health	6/1/2018	4/20/2023
Active	Zurich American Insurance Company	301121	Agent - Casualty	5/1/2007
Active	Zurich American Insurance Company	301121	Agent - Property	5/1/2007
Active	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	5/1/2007
Active	Zurich American Insurance Company of Illinois	301805	Agent - Property	5/1/2007

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Baldwin, Dale Eugene	337792	Agent - Casualty	5/30/2002
Active	Baldwin, Dale Eugene	337792	Agent - Health	6/10/2002
Active	Baldwin, Dale Eugene	337792	Agent - Life	6/10/2002
Active	Baldwin, Dale Eugene	337792	Agent - Property	5/30/2002
Inactive	Carroll, David Wayne	575220	Agent - Health	3/1/2007	2/1/2024
Inactive	Carroll, David Wayne	575220	Agent - Life	3/1/2007	2/1/2024
Inactive	Jordan, Nicole Kay	561122	Agent - Health	2/21/2003	6/30/2013
Inactive	Jordan, Nicole Kay	561122	Agent - Life	2/21/2003	6/30/2013
Inactive	Moloney, William Edward	315505	Agent - Health	2/21/2003	1/9/2004
Inactive	Moloney, William Edward	315505	Agent - Life	2/21/2003	1/9/2004
Active	Prewitt, Albert A	391759	Agent - Health	3/7/2007
Active	Prewitt, Albert A	391759	Agent - Life	3/7/2007
Inactive	Wade, Susan Pyles	377958	Agent - Health	1/9/2004	8/31/2008
Inactive	Wade, Susan Pyles	377958	Agent - Life	1/9/2004	8/31/2008