DEPARTMENT OF INSURANCE

Affiliations

Name	Risen, Norman E	DOIID	310428	NAIC NPN	829129

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Administrator	Not Applicable	1/12/1988	3/3/2014
Inactive	Resident	Agent	Health	4/12/1984	8/1/2017
Inactive	Resident	Agent	Property	8/15/2000	8/1/2017
Inactive	Resident	Agent	Casualty	8/15/2000	8/1/2017
Inactive	Resident	Agent	General Lines	2/23/1983	8/15/2000
Inactive	Resident	Agent	Health Maintenance Organization	4/12/1993	3/31/1997
Inactive	Resident	Agent	Life	4/12/1984	8/1/2017
Inactive	Resident	Managing General Agent	Not Applicable	9/22/1999	8/1/2017
Inactive	Resident	Surplus Lines Broker	Not Applicable	10/21/1988	3/31/1996
* 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
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	4/12/1993	3/31/1997
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/8/1993	5/25/2011
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/8/1993	5/25/2011
Inactive	Bankers United Life Assurance Company	300296	Agent - Health	5/26/1993	9/10/1998
Inactive	Bankers United Life Assurance Company	300296	Agent - Life	5/26/1993	9/10/1998
Inactive	Clarendon National Insurance Company	300843	Agent - Casualty	8/15/2000	3/31/2008
Inactive	Clarendon National Insurance Company	300843	Agent - General Lines	7/28/1997	8/15/2000
Inactive	Clarendon National Insurance Company	300843	Agent - Property	8/15/2000	3/31/2008
Inactive	HDI Global Select Insurance Company	301205	Agent - General Lines	5/6/1994	12/30/1999
Inactive	Hartford Accident and Indemnity Company	301917	Agent - General Lines	2/23/1983	3/31/1998
Inactive	Hartford Casualty Insurance Company	301332	Agent - General Lines	2/23/1983	3/31/1998
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	2/23/1983	3/31/1998
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - General Lines	11/5/1986	3/31/1998
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	11/18/1988	12/11/2009
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	11/18/1988	12/11/2009
Inactive	Hartford Underwriters Insurance Company	301064	Agent - General Lines	9/26/1989	3/31/1998
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	2/4/1985	6/2/2011
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	2/4/1985	6/2/2011
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Health	5/21/1990	8/3/2009
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Life	5/21/1990	8/3/2009
Inactive	Life Insurance Company of North America	300711	Agent - Health	11/23/1993	12/21/1998
Inactive	Life Insurance Company of North America	300711	Agent - Life	11/23/1993	12/21/1998
Inactive	Midwest Employers Casualty Company	300124	Agent - General Lines	6/1/1993	3/31/1996
Inactive	Nassau Life Insurance Company	301406	Agent - Health	9/26/1997	2/13/2004
Inactive	Nassau Life Insurance Company	301406	Agent - Life	9/26/1997	2/13/2004
Inactive	PHL Variable Insurance Company	300525	Agent - Health	11/6/2001	12/9/2008
Inactive	PHL Variable Insurance Company	300525	Agent - Life	11/6/2001	5/10/2006
Inactive	Praetorian Insurance Company	301021	Agent - Casualty	3/27/2006	5/19/2011
Inactive	Praetorian Insurance Company	301021	Agent - Property	3/27/2006	5/19/2011
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	9/24/1991	11/10/2004
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	9/24/1991	11/10/2004
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	11/18/1988	7/28/2009
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	11/18/1988	7/28/2009
Inactive	Twin City Fire Insurance Company	300721	Agent - General Lines	2/23/1983	3/31/1998
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Health	10/27/1994	5/24/2001
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Life	10/27/1994	5/24/2001
Inactive	Wilco Life Insurance Company	300122	Agent - Health	2/6/1987	3/31/1997
Inactive	Wilco Life Insurance Company	300122	Agent - Life	2/6/1987	3/31/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Midwest Group Marketing Inc.	399880	Agent - General Lines	10/10/1995	8/15/2000
Inactive	Midwest Group Marketing Inc.	399880	Agent - Property	8/15/2000	3/31/2007
Inactive	Midwest Group Marketing Inc.	399880	Agent - Casualty	8/15/2000	3/31/2007
Inactive	Midwestern Insurance Alliance Inc.	401257	Administrator - Not Applicable	1/12/1988	3/3/2014
Inactive	Midwestern Insurance Alliance Inc.	401257	Agent - General Lines	4/12/1984	8/15/2000
Inactive	Midwestern Insurance Alliance Inc.	401257	Agent - Life	4/12/1984	3/3/2014
Inactive	Midwestern Insurance Alliance Inc.	401257	Agent - Health	4/12/1984	3/3/2014
Inactive	Midwestern Insurance Alliance Inc.	401257	Managing General Agent - Not Applicable	9/22/1999	8/1/2017
Inactive	Midwestern Insurance Alliance Inc.	401257	Agent - Property	8/15/2000	5/19/2011
Inactive	Midwestern Insurance Alliance Inc.	401257	Agent - Casualty	8/15/2000	5/19/2011
Inactive	Phil Brown Insurance Agency Inc	400744	Agent - Life	6/9/1993	6/2/2011
Inactive	Phil Brown Insurance Agency Inc	400744	Agent - Health	6/9/1993	6/2/2011