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.

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