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	License Expiration Date
Active	Resident	Administrator	Not Applicable	1/12/1988		7/31/2025
Inactive	Resident	Agent	Health	4/12/1984	8/1/2017
Inactive	Resident	Agent	Property	8/15/2000	8/1/2017
Inactive	Resident	Agent	Health Maintenance Organization	4/12/1993	3/31/1997
Inactive	Resident	Agent	General Lines	2/23/1983	8/15/2000
Inactive	Resident	Agent	Life	4/12/1984	8/1/2017
Inactive	Resident	Agent	Casualty	8/15/2000	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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Administrator	05/05/2025	07/31/2025

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