DEPARTMENT OF INSURANCE

Affiliations

Name	Acrisure Midwest Partners Insurance Services LLC	DOIID	1270948	NAIC NPN	20687166

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	4/26/2023	3/31/2027
Active	Non Resident	Agent	Health	4/26/2023	3/31/2027
Active	Non Resident	Agent	Casualty	4/26/2023	3/31/2027
Active	Non Resident	Agent	Property	4/26/2023	3/31/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	5/22/2023	3/31/2027
* 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	01/15/2025	03/31/2025	01/31/2025	01/31/2025	Yes
Surplus Lines Broker	01/15/2025	03/31/2025	01/31/2025	01/31/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	10/15/2024
Active	ACUITY, A Mutual Insurance Company	300095	Agent - Property	10/15/2024
Active	AIG Property Casualty Company	300621	Agent - Casualty	10/10/2024
Active	AIG Property Casualty Company	300621	Agent - Property	10/10/2024
Active	All Savers Insurance Company	301940	Agent - Health	3/11/2025
Active	All Savers Insurance Company	301940	Agent - Life	3/11/2025
Active	Allmerica Financial Alliance Insurance Company	300823	Agent - Casualty	10/29/2024
Active	Allmerica Financial Alliance Insurance Company	300823	Agent - Property	10/29/2024
Active	Allmerica Financial Benefit Insurance Company	301223	Agent - Casualty	10/29/2024
Active	Allmerica Financial Benefit Insurance Company	301223	Agent - Property	10/29/2024
Active	AmGUARD Insurance Company	500010	Agent - Casualty	11/12/2024
Active	AmGUARD Insurance Company	500010	Agent - Property	11/12/2024
Active	AmTrust Insurance Company	300179	Agent - Casualty	12/29/2023
Active	AmTrust Insurance Company	300179	Agent - Property	12/29/2023
Active	American Family Home Insurance Company	301817	Agent - Casualty	7/23/2024
Active	American Family Home Insurance Company	301817	Agent - Property	7/23/2024
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	1/25/2024
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	1/25/2024
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/5/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/5/2024
Active	Anthem Life Insurance Company	301209	Agent - Health	9/5/2024
Active	Anthem Life Insurance Company	301209	Agent - Life	9/5/2024
Active	Arch Indemnity Insurance Company	301459	Agent - Casualty	2/5/2025
Active	Arch Indemnity Insurance Company	301459	Agent - Property	2/5/2025
Active	Arch Insurance Company	300688	Agent - Casualty	2/5/2025
Active	Arch Insurance Company	300688	Agent - Property	2/5/2025
Active	Arch Property Casualty Insurance Company	523075	Agent - Casualty	2/5/2025
Active	Arch Property Casualty Insurance Company	523075	Agent - Property	2/5/2025
Active	Cincinnati Casualty Company (The)	300308	Agent - Casualty	11/13/2024
Active	Cincinnati Casualty Company (The)	300308	Agent - Property	11/13/2024
Active	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	11/13/2024
Active	Cincinnati Indemnity Company (The)	301566	Agent - Property	11/13/2024
Active	Cincinnati Insurance Company	301298	Agent - Casualty	11/13/2024
Active	Cincinnati Insurance Company	301298	Agent - Property	11/13/2024
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/5/2024
Active	Employers Assurance Company	300120	Agent - Casualty	4/2/2024
Active	Employers Compensation Insurance Company	797885	Agent - Casualty	4/2/2024
Active	Employers Preferred Insurance Company	520656	Agent - Casualty	4/2/2024
Active	Hanover American Insurance Company (The)	300447	Agent - Casualty	10/29/2024
Active	Hanover American Insurance Company (The)	300447	Agent - Property	10/29/2024
Active	Hanover Insurance Company (The)	300508	Agent - Casualty	10/29/2024
Active	Hanover Insurance Company (The)	300508	Agent - Property	10/29/2024
Active	Massachusetts Bay Insurance Company	300898	Agent - Casualty	10/29/2024
Active	Massachusetts Bay Insurance Company	300898	Agent - Property	10/29/2024
Active	Milford Casualty Insurance Company	301460	Agent - Casualty	12/29/2023
Active	Milford Casualty Insurance Company	301460	Agent - Property	12/29/2023
Active	NorGUARD Insurance Company	500015	Agent - Casualty	11/12/2024
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	11/15/2024
Active	Progressive Casualty Insurance Company	300696	Agent - Property	11/15/2024
Active	Security National Insurance Company	301151	Agent - Casualty	12/29/2023
Active	Security National Insurance Company	301151	Agent - Property	12/29/2023
Active	Selective Insurance Company of the Southeast	300381	Agent - Casualty	11/14/2024
Active	Selective Insurance Company of the Southeast	300381	Agent - Property	11/14/2024
Active	Sequoia Insurance Company	628046	Agent - Casualty	12/29/2023
Active	Sequoia Insurance Company	628046	Agent - Property	12/29/2023
Active	Starr Indemnity and Liability Company	301685	Agent - Casualty	4/1/2024
Active	Starr Indemnity and Liability Company	301685	Agent - Health	4/1/2024
Active	Starr Indemnity and Liability Company	301685	Agent - Property	4/1/2024
Active	Technology Insurance Company	613278	Agent - Casualty	12/29/2023
Active	Technology Insurance Company	613278	Agent - Property	12/29/2023
Active	United Financial Casualty Company	301886	Agent - Casualty	11/15/2024
Active	United Financial Casualty Company	301886	Agent - Property	11/15/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	3/11/2025
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	3/11/2025
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/11/2025
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	3/11/2025
Active	Verlan Fire Insurance Company	517102	Agent - Casualty	10/29/2024
Active	Verlan Fire Insurance Company	517102	Agent - Property	10/29/2024
Inactive	Watford Insurance Company	556753	Agent - Casualty	2/5/2025	3/4/2025
Inactive	Watford Insurance Company	556753	Agent - Property	2/5/2025	3/4/2025
Active	Wesco Insurance Company	300534	Agent - Casualty	12/29/2023
Active	Wesco Insurance Company	300534	Agent - Property	12/29/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Artz, Natacha	1090930	Agent - Casualty	1/22/2025
Active	Artz, Natacha	1090930	Agent - Property	1/22/2025
Pending	Banks, Denise	1297680	Agent - Casualty
Pending	Banks, Denise	1297680	Agent - Health
Pending	Banks, Denise	1297680	Agent - Life
Pending	Banks, Denise	1297680	Agent - Property
Active	Cutraro, Nicole	1292953	Agent - Casualty	2/12/2025
Pending	Cutraro, Nicole	1292953	Agent - Health
Pending	Cutraro, Nicole	1292953	Agent - Life
Active	Cutraro, Nicole	1292953	Agent - Property	2/12/2025
Active	Foster, Steven D	1082682	Agent - Casualty	1/29/2025
Pending	Foster, Steven D	1082682	Agent - Life
Active	Foster, Steven D	1082682	Agent - Property	1/29/2025
Active	Kolenda, Courtney Lynne	1022910	Agent - Casualty	4/26/2023
Active	Kolenda, Courtney Lynne	1022910	Agent - Health	4/26/2023
Active	Kolenda, Courtney Lynne	1022910	Agent - Life	4/26/2023
Active	Kolenda, Courtney Lynne	1022910	Agent - Property	4/26/2023
Active	Kolenda, Courtney Lynne	1022910	Surplus Lines Broker - Not Applicable	5/22/2023
Active	Larson, Justin Lee	1051221	Agent - Casualty	1/28/2025
Active	Larson, Justin Lee	1051221	Agent - Property	1/28/2025
Active	Natalizio, Vincenz	1321212	Agent - Casualty	1/29/2025
Active	Natalizio, Vincenz	1321212	Agent - Property	1/29/2025
Pending	Osselborn, Brooke Taylor	1204050	Agent - Casualty
Pending	Osselborn, Brooke Taylor	1204050	Agent - Property
Active	Payne, Jonathan D	742554	Agent - Casualty	1/28/2025
Active	Payne, Jonathan D	742554	Agent - Property	1/28/2025
Active	Phelps, Randall L	661516	Agent - Casualty	1/29/2025
Active	Phelps, Randall L	661516	Agent - Property	1/29/2025
Pending	Ryan, John E	1330700	Agent - Casualty
Pending	Ryan, John E	1330700	Agent - Property
Pending	Sanders, Jacob	1126354	Agent - Casualty
Pending	Sanders, Jacob	1126354	Agent - Health
Pending	Sanders, Jacob	1126354	Agent - Life
Pending	Sanders, Jacob	1126354	Agent - Property
Active	Schultz, Jeffery	816060	Agent - Health	1/28/2025
Active	Schultz, Jeffery	816060	Agent - Life	1/28/2025
Active	Shewchuck, Michael	1134512	Agent - Casualty	1/29/2025
Pending	Shewchuck, Michael	1134512	Agent - Health
Pending	Shewchuck, Michael	1134512	Agent - Life
Active	Shewchuck, Michael	1134512	Agent - Property	1/29/2025
Pending	Starr, Nicholas	1320253	Agent - Casualty
Pending	Starr, Nicholas	1320253	Agent - Health
Pending	Starr, Nicholas	1320253	Agent - Life
Pending	Starr, Nicholas	1320253	Agent - Property
Active	Swanson, Kurt Irvin	1003591	Agent - Casualty	1/29/2025
Active	Swanson, Kurt Irvin	1003591	Agent - Property	1/29/2025