DEPARTMENT OF INSURANCE
Affiliations
NameMembers Insurance Services Inc.DOIID400680NAIC NPN7222593
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentCasualty3/7/2018 3/31/2027
ActiveResidentAgentLife3/7/2018 3/31/2027
ActiveResidentAgentProperty3/7/2018 3/31/2027
InactiveResidentAgentHealth1/19/19873/31/2013 
InactiveResidentAgentHealth Maintenance Organization4/27/19953/1/2001 
InactiveResidentAgentGeneral Lines2/11/19928/15/2000 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAmerican Economy Insurance Company300315Agent - Casualty8/20/2024 
InactiveAmerican Economy Insurance Company300315Agent - General Lines12/29/19988/15/2000
ActiveAmerican Economy Insurance Company300315Agent - Property8/20/2024 
InactiveAmerican Heritage Life Insurance Company300272Agent - Health1/19/19873/31/1997
InactiveAmerican Heritage Life Insurance Company300272Agent - Life1/19/19873/31/1997
InactiveAmerican Select Insurance Company301229Agent - Casualty11/5/201812/4/2024
InactiveAmerican Select Insurance Company301229Agent - Property11/5/201812/4/2024
InactiveAmerican States Insurance Company301230Agent - Casualty8/15/200012/18/2003
InactiveAmerican States Insurance Company301230Agent - General Lines12/30/19988/15/2000
InactiveAmerican States Insurance Company301230Agent - Property8/15/200012/18/2003
InactiveAmerican States Life Insurance Company301884Agent - Health12/30/199812/6/2004
InactiveAmerican States Life Insurance Company301884Agent - Life12/30/199812/6/2004
ActiveAmerican Strategic Insurance Corp883540Agent - Casualty5/2/2018 
ActiveAmerican Strategic Insurance Corp883540Agent - Property5/2/2018 
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health3/1/200111/24/2003
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health Maintenance Organization4/27/19953/1/2001
InactiveAnthem Life Insurance Company301209Agent - Life1/12/19956/7/2000
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty3/7/20013/31/2013
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - General Lines4/24/19978/15/2000
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property3/7/20013/31/2013
InactiveBerkshire Life Insurance Company of America300983Agent - Health6/27/200110/31/2006
InactiveBerkshire Life Insurance Company of America300983Agent - Life6/27/200110/31/2006
InactiveBristol West Insurance Company301655Agent - Casualty5/8/20078/29/2008
InactiveBristol West Insurance Company301655Agent - Property5/8/20078/29/2008
InactiveCMFG Life Insurance Company300929Agent - Health1/7/199212/30/2002
InactiveCMFG Life Insurance Company300929Agent - Life1/7/199212/30/2002
InactiveCeltic Insurance Company300877Agent - Health5/29/19963/31/1997
InactiveCeltic Insurance Company300877Agent - Life5/29/19963/31/1997
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty3/7/20013/31/2013
InactiveCharter Oak Fire Insurance Company (The)301501Agent - General Lines4/25/19978/15/2000
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Property3/7/20013/31/2013
InactiveColonial Life and Accident Insurance Company300846Agent - Health12/5/199411/13/2006
InactiveColonial Life and Accident Insurance Company300846Agent - Life12/5/199411/13/2006
InactiveFarmers Insurance Exchange300336Agent - Casualty8/26/20048/29/2012
InactiveFarmers Insurance Exchange300336Agent - Property8/26/20048/29/2012
InactiveFirst Colony Life Insurance Company301179Agent - Health2/28/20021/1/2007
InactiveFirst Colony Life Insurance Company301179Agent - Life2/28/20021/1/2007
InactiveFirst National Insurance Company of America301690Agent - Casualty3/7/20013/31/2013
InactiveFirst National Insurance Company of America301690Agent - General Lines7/27/19938/15/2000
InactiveFirst National Insurance Company of America301690Agent - Property3/7/20013/31/2013
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Health8/25/199912/12/2008
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life8/25/199912/12/2008
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty5/16/201812/20/2023
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property5/16/201812/20/2023
InactiveGeneral Insurance Company of America300261Agent - Casualty3/7/20013/31/2013
InactiveGeneral Insurance Company of America300261Agent - General Lines7/27/19938/15/2000
InactiveGeneral Insurance Company of America300261Agent - Property3/7/20013/31/2013
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health1/1/20073/31/2013
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life1/1/20073/31/2013
InactiveGolden Rule Insurance Company301943Agent - Health8/16/199311/12/1998
InactiveGolden Rule Insurance Company301943Agent - Life8/16/199311/12/1998
InactiveGuardian Life Insurance Company of America301316Agent - Health12/29/199410/31/2006
InactiveGuardian Life Insurance Company of America301316Agent - Life12/29/199410/31/2006
InactiveHartford Life and Accident Insurance Company300878Agent - Health1/24/199512/30/1998
InactiveHartford Life and Accident Insurance Company300878Agent - Life1/24/199512/30/1998
InactiveJackson National Life Insurance Company300486Agent - Life1/9/200211/30/2006
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health7/20/19983/19/2001
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life7/20/19983/19/2001
DeniedJefferson-Pilot Life Insurance Company300379Agent - Health  
DeniedJefferson-Pilot Life Insurance Company300379Agent - Life  
InactiveJohn Alden Life Insurance Company300573Agent - Health10/1/20037/12/2010
InactiveJohn Alden Life Insurance Company300573Agent - Life10/1/20037/12/2010
InactiveLincoln Benefit Life Company301110Agent - Health1/26/20053/31/2013
InactiveLincoln Benefit Life Company301110Agent - Life1/26/20053/31/2013
InactiveLincoln National Life Insurance Company (The)301382Agent - Health4/2/20073/31/2013
InactiveLincoln National Life Insurance Company (The)301382Agent - Life4/2/20073/31/2013
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Health6/5/19915/8/2012
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Life6/5/19915/8/2012
ActiveMeridian Security Insurance Company300423Agent - Casualty6/29/2018 
ActiveMeridian Security Insurance Company300423Agent - Property6/29/2018 
ActiveMilbank Insurance Company925185Agent - Casualty6/29/2018 
ActiveMilbank Insurance Company925185Agent - Property6/29/2018 
InactiveNational Guardian Life Insurance Company300596Agent - Health10/30/19963/31/1999
InactiveNational Guardian Life Insurance Company300596Agent - Life10/30/19963/31/1999
InactiveNorthern Insurance Company of New York301317Agent - Casualty8/26/20043/31/2013
InactiveNorthern Insurance Company of New York301317Agent - Property8/26/20043/31/2013
InactiveOhio Farmers Insurance Company301667Agent - Casualty11/5/201812/4/2024
InactiveOhio Farmers Insurance Company301667Agent - Property11/5/201812/4/2024
ActiveOld Guard Insurance Company533854Agent - Casualty6/9/2021 
ActiveOld Guard Insurance Company533854Agent - Property6/9/2021 
InactivePhysicians Life Insurance Company300924Agent - Life1/24/19955/9/2007
ActiveProgressive Casualty Insurance Company300696Agent - Casualty6/8/2018 
ActiveProgressive Casualty Insurance Company300696Agent - Property6/8/2018 
InactiveProgressive Max Insurance Company301034Agent - Casualty3/7/200111/27/2007
InactiveProgressive Max Insurance Company301034Agent - General Lines3/24/19958/15/2000
InactiveProgressive Max Insurance Company301034Agent - Property3/7/200111/27/2007
InactiveProgressive Northern Insurance Company301378Agent - Casualty3/7/20017/2/2008
InactiveProgressive Northern Insurance Company301378Agent - General Lines3/26/19998/15/2000
InactiveProgressive Northern Insurance Company301378Agent - Property3/7/20017/2/2008
InactiveProgressive Northwestern Insurance Company300441Agent - Casualty3/7/200112/28/2005
InactiveProgressive Northwestern Insurance Company300441Agent - General Lines3/29/19998/15/2000
InactiveProgressive Northwestern Insurance Company300441Agent - Property3/7/200112/28/2005
InactiveProgressive Specialty Insurance Company300797Agent - Casualty3/7/200111/27/2007
InactiveProgressive Specialty Insurance Company300797Agent - General Lines3/27/19998/15/2000
InactiveProgressive Specialty Insurance Company300797Agent - Property3/7/200111/27/2007
InactiveProtective Life Insurance Company300638Agent - Health1/1/200712/22/2010
InactiveProtective Life Insurance Company300638Agent - Life1/1/200712/22/2010
InactiveProtective Property & Casualty Insurance Company300393Agent - General Lines9/21/199510/1/1999
InactivePruco Life Insurance Company300954Agent - Health5/16/200712/22/2008
InactivePruco Life Insurance Company300954Agent - Life5/16/200712/22/2008
InactiveRiverStone International Insurance, Inc.301758Agent - Casualty5/9/200510/3/2008
InactiveRiverStone International Insurance, Inc.301758Agent - Property5/9/200510/3/2008
ActiveSAFECO Insurance Company of America300159Agent - Casualty11/1/2024 
InactiveSAFECO Insurance Company of America300159Agent - General Lines7/27/19938/15/2000
ActiveSAFECO Insurance Company of America300159Agent - Property11/1/2024 
InactiveSAFECO Insurance Company of Illinois301350Agent - Casualty5/18/20183/29/2024
InactiveSAFECO Insurance Company of Illinois301350Agent - General Lines7/27/19938/15/2000
InactiveSAFECO Insurance Company of Illinois301350Agent - Property5/18/20183/29/2024
InactiveSAFECO National Insurance Company300989Agent - Casualty3/7/200112/4/2004
InactiveSAFECO National Insurance Company300989Agent - General Lines7/27/19938/15/2000
InactiveSAFECO National Insurance Company300989Agent - Property3/7/200112/4/2004
InactiveSouth Carolina Insurance Company300080Agent - General Lines2/21/19953/31/1999
InactiveStandard Fire Insurance Company (The)301068Agent - Casualty3/7/20013/31/2013
InactiveStandard Fire Insurance Company (The)301068Agent - General Lines4/25/19978/15/2000
InactiveStandard Fire Insurance Company (The)301068Agent - Property3/7/20013/31/2013
ActiveState Auto Property & Casualty Insurance Company301953Agent - Casualty6/29/2018 
ActiveState Auto Property & Casualty Insurance Company301953Agent - Property6/29/2018 
ActiveState Automobile Mutual Insurance Company301824Agent - Casualty6/29/2018 
ActiveState Automobile Mutual Insurance Company301824Agent - Property6/29/2018 
ActiveStillwater Insurance Company567181Agent - Casualty4/11/2023 
ActiveStillwater Insurance Company567181Agent - Property4/11/2023 
InactiveSymetra Life Insurance Company301691Agent - Health12/9/19949/10/2012
InactiveSymetra Life Insurance Company301691Agent - Life12/9/19949/10/2012
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health5/23/19976/4/2010
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life5/23/19976/4/2010
InactiveThe Phoenix Insurance Company301502Agent - Casualty3/7/20013/31/2013
InactiveThe Phoenix Insurance Company301502Agent - General Lines4/25/19978/15/2000
InactiveThe Phoenix Insurance Company301502Agent - Property3/7/20013/31/2013
InactiveTravCo Insurance Company301828Agent - Casualty3/7/20013/31/2013
InactiveTravCo Insurance Company301828Agent - General Lines4/24/19978/15/2000
InactiveTravCo Insurance Company301828Agent - Property3/7/20013/31/2013
InactiveTravelers Casualty Company of Connecticut301505Agent - Casualty7/1/20033/31/2013
InactiveTravelers Casualty Company of Connecticut301505Agent - Property7/1/20033/31/2013
InactiveTravelers Commercial Insurance Company301506Agent - Casualty7/19/20053/31/2013
InactiveTravelers Commercial Insurance Company301506Agent - Property7/19/20053/31/2013
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty7/19/20053/31/2013
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Property7/19/20053/31/2013
InactiveTravelers Indemnity Company (The)301855Agent - Casualty3/7/20013/31/2013
InactiveTravelers Indemnity Company (The)301855Agent - General Lines5/5/19978/15/2000
InactiveTravelers Indemnity Company (The)301855Agent - Property3/7/20013/31/2013
InactiveTravelers Indemnity Company of America (The)301093Agent - Casualty3/7/20013/31/2013
InactiveTravelers Indemnity Company of America (The)301093Agent - General Lines8/28/19958/15/2000
InactiveTravelers Indemnity Company of America (The)301093Agent - Property3/7/20013/31/2013
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Casualty3/7/20013/31/2013
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - General Lines4/23/19978/15/2000
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Property3/7/20013/31/2013
InactiveTruck Insurance Exchange300335Agent - Casualty5/8/20078/29/2012
InactiveTruck Insurance Exchange300335Agent - Property5/8/20078/29/2012
InactiveU.S. Financial Life Insurance Company301812Agent - Health8/21/199810/22/2007
InactiveU.S. Financial Life Insurance Company301812Agent - Life8/21/199810/22/2007
InactiveUnion Security Insurance Company301844Agent - Health4/12/19953/1/2004
InactiveUnion Security Insurance Company301844Agent - Life4/12/19953/1/2004
ActiveUnited Financial Casualty Company301886Agent - Casualty6/8/2018 
ActiveUnited Financial Casualty Company301886Agent - Property6/8/2018 
InactiveVirginia Surety Company, Inc.301022Agent - General Lines2/11/199212/31/1999
InactiveWest Coast Life Insurance Company301607Agent - Life10/7/199911/23/2009
ActiveWestfield Champion Insurance Company1054839Agent - Casualty6/9/2021 
ActiveWestfield Champion Insurance Company1054839Agent - Property6/9/2021 
InactiveWestfield Insurance Company301950Agent - Casualty11/5/201812/4/2024
InactiveWestfield Insurance Company301950Agent - Property11/5/201812/4/2024
InactiveWestfield National Insurance Company301036Agent - Casualty11/5/201812/4/2024
InactiveWestfield National Insurance Company301036Agent - Property11/5/201812/4/2024
ActiveWestfield Premier Insurance Company1055055Agent - Casualty6/9/2021 
ActiveWestfield Premier Insurance Company1055055Agent - Property6/9/2021 
ActiveWestfield Superior Insurance Company1054978Agent - Casualty6/9/2021 
ActiveWestfield Superior Insurance Company1054978Agent - Property6/9/2021 
ActiveWestfield Touchstone Insurance Company1055057Agent - Casualty6/9/2021 
ActiveWestfield Touchstone Insurance Company1055057Agent - Property6/9/2021 
Inactive300277Agent - Health12/20/19991/1/2007
Inactive300277Agent - Life12/20/19991/1/2007
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAcordia of Lexington Inc.401285Agent - Casualty8/15/200012/31/2001
InactiveAcordia of Lexington Inc.401285Agent - General Lines3/7/19958/15/2000
InactiveAcordia of Lexington Inc.401285Agent - Health3/7/199512/31/2001
InactiveAcordia of Lexington Inc.401285Agent - Life3/7/199512/31/2001
InactiveAcordia of Lexington Inc.401285Agent - Property8/15/200012/31/2001
ActiveChesky, Jeffrey Carl 692036Agent - Casualty3/7/2018 
ActiveChesky, Jeffrey Carl 692036Agent - Life3/7/2018 
ActiveChesky, Jeffrey Carl 692036Agent - Property3/7/2018 
InactiveDrury, Julie A 513953Agent - Casualty3/7/20011/11/2008
InactiveDrury, Julie A 513953Agent - Health3/8/20021/11/2008
InactiveDrury, Julie A 513953Agent - Life3/8/20021/11/2008
InactiveDrury, Julie A 513953Agent - Property3/7/20011/11/2008
InactiveGaut, James Robert 319124Agent - General Lines1/15/19928/15/2000
InactiveGaut, James Robert 319124Agent - Health1/15/199212/7/2000
InactiveGaut, James Robert 319124Agent - Life1/15/199212/7/2000
InactiveJohns, Judy Durham 311398Agent - Casualty8/15/20001/12/2005
InactiveJohns, Judy Durham 311398Agent - General Lines11/29/19958/15/2000
InactiveJohns, Judy Durham 311398Agent - Health11/29/19951/12/2005
InactiveJohns, Judy Durham 311398Agent - Life11/29/19951/12/2005
InactiveJohns, Judy Durham 311398Agent - Property8/15/20001/12/2005
InactiveKuhn, Sara Ann 537006Agent - Casualty1/12/20057/6/2006
InactiveKuhn, Sara Ann 537006Agent - Health6/26/20027/6/2006
InactiveKuhn, Sara Ann 537006Agent - Life6/26/20027/6/2006
InactiveKuhn, Sara Ann 537006Agent - Property1/12/20057/6/2006
InactiveReed, Cynthia Sheak 377994Agent - Casualty8/15/20003/31/2013
InactiveReed, Cynthia Sheak 377994Agent - Health12/7/20003/31/2013
InactiveReed, Cynthia Sheak 377994Agent - Life12/7/20003/31/2013
InactiveReed, Cynthia Sheak 377994Agent - Property8/15/20003/31/2013
InactiveSchummers, Michael Kastner 347851Agent - Casualty8/15/20001/1/2009
InactiveSchummers, Michael Kastner 347851Agent - Health12/7/20001/1/2009
InactiveSchummers, Michael Kastner 347851Agent - Life12/7/20001/1/2009
InactiveSchummers, Michael Kastner 347851Agent - Property8/15/20001/1/2009
InactiveSpurlock, Timothy David 579988Agent - Casualty1/11/20083/31/2013
InactiveSpurlock, Timothy David 579988Agent - Property1/11/20083/31/2013
InactiveViolette, Jeffrey W 356526Agent - Casualty8/15/20006/26/2002
InactiveViolette, Jeffrey W 356526Agent - Health12/7/20006/26/2002
InactiveViolette, Jeffrey W 356526Agent - Life12/7/20006/26/2002
InactiveViolette, Jeffrey W 356526Agent - Property8/15/20006/26/2002

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