DEPARTMENT OF INSURANCE
Affiliations
NameBasberg, Mililani DDOIID323771NAIC NPN7169584
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLife5/19/2009 1/31/2025
ActiveResidentAgentProperty5/19/2009 1/31/2025
ActiveResidentAgentCasualty5/19/2009 1/31/2025
ActiveResidentAgentHealth5/19/2009 1/31/2025
InactiveResidentAgentGeneral Lines6/25/19858/15/2000 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent11/15/202401/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Casualty2/4/2019 
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Property2/4/2019 
InactiveAmerican Modern Select Insurance Company581481Agent - Casualty7/4/201611/14/2021
InactiveAmerican Modern Select Insurance Company581481Agent - Property7/4/201611/14/2021
ActiveAmerican National General Insurance Company301944Agent - Casualty5/27/2009 
InactiveAmerican National General Insurance Company301944Agent - General Lines6/25/19858/15/2000
ActiveAmerican National General Insurance Company301944Agent - Property5/27/2009 
ActiveAmerican National Insurance Company301861Agent - Health12/23/2009 
ActiveAmerican National Insurance Company301861Agent - Life12/23/2009 
InactiveAmerican National Life Insurance Company of Texas300912Agent - Health10/19/19881/23/2003
ActiveAmerican National Life Insurance Company of Texas300912Agent - Life3/12/2021 
ActiveAmerican National Property and Casualty Company300392Agent - Casualty5/27/2009 
InactiveAmerican National Property and Casualty Company300392Agent - General Lines6/25/19858/15/2000
ActiveAmerican National Property and Casualty Company300392Agent - Property5/27/2009 
InactiveAmerican Southern Home Insurance Company626276Agent - Casualty12/30/201611/14/2021
InactiveAmerican Southern Home Insurance Company626276Agent - Property12/30/201611/14/2021
InactiveAnthem Life Insurance Company301209Agent - Health9/24/19966/7/2000
InactiveAnthem Life Insurance Company301209Agent - Life9/24/19966/7/2000
ActiveBanner Life Insurance Company301696Agent - Life11/16/2023 
ActiveBristol West Insurance Company301655Agent - Casualty12/15/2021 
ActiveBristol West Insurance Company301655Agent - Property12/15/2021 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty9/28/2015 
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - General Lines3/13/19978/15/2000
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property9/28/2015 
InactiveForemost Property and Casualty Insurance Company300871Agent - Casualty9/28/20155/10/2018
InactiveForemost Property and Casualty Insurance Company300871Agent - Property9/28/20155/10/2018
InactiveForemost Signature Insurance Company300140Agent - Casualty9/28/20155/10/2018
InactiveForemost Signature Insurance Company300140Agent - General Lines3/13/19978/15/2000
InactiveForemost Signature Insurance Company300140Agent - Property9/28/20155/10/2018
InactiveGenworth Life Insurance Company300623Agent - Health3/2/20121/5/2015
InactiveGenworth Life Insurance Company300623Agent - Life3/2/20121/5/2015
InactiveIllinois Mutual Life Insurance Company301479Agent - Health5/5/19994/13/2001
InactiveIllinois Mutual Life Insurance Company301479Agent - Life5/5/19994/13/2001
InactiveJohn Alden Life Insurance Company300573Agent - Health9/30/20127/16/2013
InactiveJohn Alden Life Insurance Company300573Agent - Life9/30/20127/16/2013
InactiveJohn Hancock Life Insurance Company300821Agent - Health4/29/20036/7/2008
InactiveJohn Hancock Life Insurance Company300821Agent - Life4/29/20036/7/2008
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health1/26/20104/11/2012
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life1/26/20104/11/2012
ActiveProgressive Casualty Insurance Company300696Agent - Casualty9/16/2016 
ActiveProgressive Casualty Insurance Company300696Agent - Property9/16/2016 
ActiveProtective Life Insurance Company300638Agent - Health4/1/2024 
ActiveProtective Life Insurance Company300638Agent - Life4/1/2024 
InactiveProvident Life and Accident Insurance Company301525Agent - Health2/27/19979/5/2000
InactiveProvident Life and Accident Insurance Company301525Agent - Life2/27/19979/5/2000
ActivePruco Life Insurance Company300954Agent - Life2/22/2024 
InactiveStandard Life and Accident Insurance Company301534Agent - Health5/5/20031/31/2009
InactiveStandard Life and Accident Insurance Company301534Agent - Life5/5/20031/31/2009
InactiveTime Insurance Company300683Agent - Health5/25/20119/25/2016
InactiveTime Insurance Company300683Agent - Life5/25/20119/25/2016
ActiveUnited Financial Casualty Company301886Agent - Casualty9/16/2016 
ActiveUnited Financial Casualty Company301886Agent - Property9/16/2016 
InactiveUnited of Omaha Life Insurance Company300156Agent - Health9/23/19974/5/1999
InactiveUnited of Omaha Life Insurance Company300156Agent - Life9/23/19974/5/1999
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health1/10/19963/31/1997
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life1/10/19963/31/1997
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAcordia of Louisville Inc.401252Agent - Life8/15/19962/28/2003
InactiveAcordia of Louisville Inc.401252Agent - Health8/15/19962/28/2003
InactiveMedlink Inc400721Agent - Life11/23/19981/31/2009
InactiveMedlink Inc400721Agent - Health11/23/19981/31/2009

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