DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Middelberg, Ann	DOIID	1344786	NAIC NPN	21171664

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	6/11/2024		1/31/2027
Active	Non Resident	Agent	Health	9/11/2024		1/31/2027
* 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	11/15/2026	01/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American General Life Insurance Company	301585	Agent - Health	11/29/2024
Active	American General Life Insurance Company	301585	Agent - Life	11/29/2024
Active	Brighthouse Life Insurance Company	301829	Agent - Life	8/14/2024
Active	Everly Life Insurance Company	561641	Agent - Life	1/9/2025
Active	Pruco Life Insurance Company	300954	Agent - Life	8/20/2024
Active	United of Omaha Life Insurance Company	300156	Agent - Life	8/1/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Policygenius LLC	874468	Agent - Life	11/11/2024
Active	Policygenius LLC	874468	Agent - Health	11/29/2024