DEPARTMENT OF INSURANCE

Affiliations

Name	Risen, Marc H	DOIID	348078	NAIC NPN	5953953

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Administrator	Not Applicable	4/5/1991		8/31/2024
Active	Resident	Agent	Casualty	8/15/2000		8/31/2024
Active	Resident	Agent	Property	8/15/2000		8/31/2024
Inactive	Resident	Agent	General Lines	7/12/1985	8/15/2000
Active	Resident	Managing General Agent	Not Applicable	9/22/1999		8/31/2024
Active	Resident	Surplus Lines Broker	Not Applicable	2/11/2016		8/31/2024
* 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
Administrator	06/15/2024	08/31/2024
Agent	06/15/2024	08/31/2024
Managing General Agent	06/15/2024	08/31/2024
Surplus Lines Broker	06/15/2024	08/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aegis Security Insurance Company	300492	Agent - Casualty	1/1/2014	11/1/2022
Inactive	Aegis Security Insurance Company	300492	Agent - Property	1/1/2014	11/1/2022
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	Falls Lake National Insurance Company	301796	Agent - Casualty	7/17/2013	4/16/2018
Inactive	Falls Lake National Insurance Company	301796	Agent - Property	7/17/2013	4/16/2018
Inactive	Great American Insurance Company	301586	Agent - Casualty	11/26/2013	7/24/2019
Inactive	Great American Insurance Company	301586	Agent - Property	11/26/2013	7/24/2019
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	7/12/1985	3/31/1998
Inactive	Hartford Casualty Insurance Company	301332	Agent - General Lines	7/12/1985	3/31/1998
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	7/12/1985	3/31/1998
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - General Lines	11/5/1986	3/31/1998
Inactive	Hartford Underwriters Insurance Company	301064	Agent - General Lines	9/26/1989	3/31/1998
Active	Insurance Company of the West	301520	Agent - Casualty	1/23/2019
Active	Insurance Company of the West	301520	Agent - Property	1/23/2019
Active	North Pointe Insurance Company	301029	Agent - Casualty	11/11/2021
Active	North Pointe Insurance Company	301029	Agent - Property	11/11/2021
Active	Praetorian Insurance Company	301021	Agent - Casualty	7/12/2011
Active	Praetorian Insurance Company	301021	Agent - Property	7/12/2011
Active	QBE Insurance Corporation	300515	Agent - Casualty	7/12/2011
Active	QBE Insurance Corporation	300515	Agent - Property	7/12/2011
Inactive	Twin City Fire Insurance Company	300721	Agent - General Lines	7/12/1985	3/31/1998

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
Active	Midwestern Ins Alliance L L C	777603	Administrator - Not Applicable	8/10/2016
Active	Midwestern Ins Alliance L L C	777603	Managing General Agent - Not Applicable	5/25/2012
Active	Midwestern Ins Alliance L L C	777603	Agent - Property	3/20/2012
Active	Midwestern Ins Alliance L L C	777603	Agent - Casualty	3/20/2012
Active	Midwestern Ins Alliance L L C	777603	Surplus Lines Broker - Not Applicable	2/16/2016
Inactive	Midwestern Insurance Alliance Inc.	401257	Administrator - Not Applicable	4/5/1991	3/3/2014
Inactive	Midwestern Insurance Alliance Inc.	401257	Managing General Agent - Not Applicable	9/22/1999	3/3/2014
Inactive	Midwestern Insurance Alliance Inc.	401257	Agent - Property	7/28/2011	3/3/2014
Inactive	Midwestern Insurance Alliance Inc.	401257	Agent - Casualty	7/28/2011	3/3/2014