DEPARTMENT OF INSURANCE

Affiliations

Name	Members Insurance Services Inc.	DOIID	400680	NAIC NPN	7222593

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	3/7/2018		3/31/2025
Active	Resident	Agent	Life	3/7/2018		3/31/2025
Active	Resident	Agent	Property	3/7/2018		3/31/2025
Inactive	Resident	Agent	Health Maintenance Organization	4/27/1995	3/1/2001
Inactive	Resident	Agent	Health	1/19/1987	3/31/2013
Inactive	Resident	Agent	General Lines	2/11/1992	8/15/2000
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019	3/29/2024
Inactive	American Economy Insurance Company	300315	Agent - General Lines	12/29/1998	8/15/2000
Inactive	American Economy Insurance Company	300315	Agent - Property	11/9/2019	3/29/2024
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	1/19/1987	3/31/1997
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	1/19/1987	3/31/1997
Active	American Select Insurance Company	301229	Agent - Casualty	11/5/2018
Active	American Select Insurance Company	301229	Agent - Property	11/5/2018
Inactive	American States Insurance Company	301230	Agent - Casualty	8/15/2000	12/18/2003
Inactive	American States Insurance Company	301230	Agent - General Lines	12/30/1998	8/15/2000
Inactive	American States Insurance Company	301230	Agent - Property	8/15/2000	12/18/2003
Inactive	American States Life Insurance Company	301884	Agent - Health	12/30/1998	12/6/2004
Inactive	American States Life Insurance Company	301884	Agent - Life	12/30/1998	12/6/2004
Active	American Strategic Insurance Corp	883540	Agent - Casualty	5/2/2018
Active	American Strategic Insurance Corp	883540	Agent - Property	5/2/2018
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/1/2001	11/24/2003
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	4/27/1995	3/1/2001
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/12/1995	6/7/2000
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	3/7/2001	3/31/2013
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - General Lines	4/24/1997	8/15/2000
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	3/7/2001	3/31/2013
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	6/27/2001	10/31/2006
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	6/27/2001	10/31/2006
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	5/8/2007	8/29/2008
Inactive	Bristol West Insurance Company	301655	Agent - Property	5/8/2007	8/29/2008
Inactive	CMFG Life Insurance Company	300929	Agent - Health	1/7/1992	12/30/2002
Inactive	CMFG Life Insurance Company	300929	Agent - Life	1/7/1992	12/30/2002
Inactive	Celtic Insurance Company	300877	Agent - Health	5/29/1996	3/31/1997
Inactive	Celtic Insurance Company	300877	Agent - Life	5/29/1996	3/31/1997
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	3/7/2001	3/31/2013
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - General Lines	4/25/1997	8/15/2000
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	3/7/2001	3/31/2013
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	12/5/1994	11/13/2006
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	12/5/1994	11/13/2006
Inactive	Electric Insurance Company	301758	Agent - Casualty	5/9/2005	10/3/2008
Inactive	Electric Insurance Company	301758	Agent - Property	5/9/2005	10/3/2008
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	8/26/2004	8/29/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	8/26/2004	8/29/2012
Inactive	First Colony Life Insurance Company	301179	Agent - Health	2/28/2002	1/1/2007
Inactive	First Colony Life Insurance Company	301179	Agent - Life	2/28/2002	1/1/2007
Inactive	First National Insurance Company of America	301690	Agent - Casualty	3/7/2001	3/31/2013
Inactive	First National Insurance Company of America	301690	Agent - General Lines	7/27/1993	8/15/2000
Inactive	First National Insurance Company of America	301690	Agent - Property	3/7/2001	3/31/2013
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	8/25/1999	12/12/2008
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	8/25/1999	12/12/2008
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	5/16/2018	12/20/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	5/16/2018	12/20/2023
Inactive	General Insurance Company of America	300261	Agent - Casualty	3/7/2001	3/31/2013
Inactive	General Insurance Company of America	300261	Agent - General Lines	7/27/1993	8/15/2000
Inactive	General Insurance Company of America	300261	Agent - Property	3/7/2001	3/31/2013
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	1/1/2007	3/31/2013
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/1/2007	3/31/2013
Inactive	Golden Rule Insurance Company	301943	Agent - Health	8/16/1993	11/12/1998
Inactive	Golden Rule Insurance Company	301943	Agent - Life	8/16/1993	11/12/1998
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	12/29/1994	10/31/2006
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	12/29/1994	10/31/2006
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	1/24/1995	12/30/1998
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	1/24/1995	12/30/1998
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	1/9/2002	11/30/2006
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	7/20/1998	3/19/2001
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	7/20/1998	3/19/2001
Denied	Jefferson-Pilot Life Insurance Company	300379	Agent - Health
Denied	Jefferson-Pilot Life Insurance Company	300379	Agent - Life
Inactive	John Alden Life Insurance Company	300573	Agent - Health	10/1/2003	7/12/2010
Inactive	John Alden Life Insurance Company	300573	Agent - Life	10/1/2003	7/12/2010
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	1/26/2005	3/31/2013
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	1/26/2005	3/31/2013
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	4/2/2007	3/31/2013
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	4/2/2007	3/31/2013
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	6/5/1991	5/8/2012
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	6/5/1991	5/8/2012
Active	Meridian Security Insurance Company	300423	Agent - Casualty	6/29/2018
Active	Meridian Security Insurance Company	300423	Agent - Property	6/29/2018
Active	Milbank Insurance Company	925185	Agent - Casualty	6/29/2018
Active	Milbank Insurance Company	925185	Agent - Property	6/29/2018
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	10/30/1996	3/31/1999
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	10/30/1996	3/31/1999
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	8/26/2004	3/31/2013
Inactive	Northern Insurance Company of New York	301317	Agent - Property	8/26/2004	3/31/2013
Active	Ohio Farmers Insurance Company	301667	Agent - Casualty	11/5/2018
Active	Ohio Farmers Insurance Company	301667	Agent - Property	11/5/2018
Active	Old Guard Insurance Company	533854	Agent - Casualty	6/9/2021
Active	Old Guard Insurance Company	533854	Agent - Property	6/9/2021
Inactive	Physicians Life Insurance Company	300924	Agent - Life	1/24/1995	5/9/2007
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	6/8/2018
Active	Progressive Casualty Insurance Company	300696	Agent - Property	6/8/2018
Inactive	Progressive Max Insurance Company	301034	Agent - Casualty	3/7/2001	11/27/2007
Inactive	Progressive Max Insurance Company	301034	Agent - General Lines	3/24/1995	8/15/2000
Inactive	Progressive Max Insurance Company	301034	Agent - Property	3/7/2001	11/27/2007
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	3/7/2001	7/2/2008
Inactive	Progressive Northern Insurance Company	301378	Agent - General Lines	3/26/1999	8/15/2000
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	3/7/2001	7/2/2008
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Casualty	3/7/2001	12/28/2005
Inactive	Progressive Northwestern Insurance Company	300441	Agent - General Lines	3/29/1999	8/15/2000
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Property	3/7/2001	12/28/2005
Inactive	Progressive Specialty Insurance Company	300797	Agent - Casualty	3/7/2001	11/27/2007
Inactive	Progressive Specialty Insurance Company	300797	Agent - General Lines	3/27/1999	8/15/2000
Inactive	Progressive Specialty Insurance Company	300797	Agent - Property	3/7/2001	11/27/2007
Inactive	Protective Life Insurance Company	300638	Agent - Health	1/1/2007	12/22/2010
Inactive	Protective Life Insurance Company	300638	Agent - Life	1/1/2007	12/22/2010
Inactive	Protective Property & Casualty Insurance Company	300393	Agent - General Lines	9/21/1995	10/1/1999
Inactive	Pruco Life Insurance Company	300954	Agent - Health	5/16/2007	12/22/2008
Inactive	Pruco Life Insurance Company	300954	Agent - Life	5/16/2007	12/22/2008
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	5/18/2018	3/29/2024
Inactive	SAFECO Insurance Company of America	300159	Agent - General Lines	7/27/1993	8/15/2000
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	5/18/2018	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	5/18/2018	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - General Lines	7/27/1993	8/15/2000
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	5/18/2018	3/29/2024
Inactive	SAFECO National Insurance Company	300989	Agent - Casualty	3/7/2001	12/4/2004
Inactive	SAFECO National Insurance Company	300989	Agent - General Lines	7/27/1993	8/15/2000
Inactive	SAFECO National Insurance Company	300989	Agent - Property	3/7/2001	12/4/2004
Inactive	South Carolina Insurance Company	300080	Agent - General Lines	2/21/1995	3/31/1999
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	3/7/2001	3/31/2013
Inactive	Standard Fire Insurance Company (The)	301068	Agent - General Lines	4/25/1997	8/15/2000
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	3/7/2001	3/31/2013
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	6/29/2018
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Property	6/29/2018
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	6/29/2018
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	6/29/2018
Active	Stillwater Insurance Company	567181	Agent - Casualty	4/11/2023
Active	Stillwater Insurance Company	567181	Agent - Property	4/11/2023
Inactive	Symetra Life Insurance Company	301691	Agent - Health	12/9/1994	9/10/2012
Inactive	Symetra Life Insurance Company	301691	Agent - Life	12/9/1994	9/10/2012
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	5/23/1997	6/4/2010
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	5/23/1997	6/4/2010
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	3/7/2001	3/31/2013
Inactive	The Phoenix Insurance Company	301502	Agent - General Lines	4/25/1997	8/15/2000
Inactive	The Phoenix Insurance Company	301502	Agent - Property	3/7/2001	3/31/2013
Inactive	TravCo Insurance Company	301828	Agent - Casualty	3/7/2001	3/31/2013
Inactive	TravCo Insurance Company	301828	Agent - General Lines	4/24/1997	8/15/2000
Inactive	TravCo Insurance Company	301828	Agent - Property	3/7/2001	3/31/2013
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Casualty	7/1/2003	3/31/2013
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Property	7/1/2003	3/31/2013
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	7/19/2005	3/31/2013
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	7/19/2005	3/31/2013
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	7/19/2005	3/31/2013
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	7/19/2005	3/31/2013
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	3/7/2001	3/31/2013
Inactive	Travelers Indemnity Company (The)	301855	Agent - General Lines	5/5/1997	8/15/2000
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	3/7/2001	3/31/2013
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	3/7/2001	3/31/2013
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - General Lines	8/28/1995	8/15/2000
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	3/7/2001	3/31/2013
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	3/7/2001	3/31/2013
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - General Lines	4/23/1997	8/15/2000
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	3/7/2001	3/31/2013
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	5/8/2007	8/29/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	5/8/2007	8/29/2012
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	8/21/1998	10/22/2007
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	8/21/1998	10/22/2007
Inactive	Union Security Insurance Company	301844	Agent - Health	4/12/1995	3/1/2004
Inactive	Union Security Insurance Company	301844	Agent - Life	4/12/1995	3/1/2004
Active	United Financial Casualty Company	301886	Agent - Casualty	6/8/2018
Active	United Financial Casualty Company	301886	Agent - Property	6/8/2018
Inactive	Virginia Surety Company, Inc.	301022	Agent - General Lines	2/11/1992	12/31/1999
Inactive	West Coast Life Insurance Company	301607	Agent - Life	10/7/1999	11/23/2009
Active	Westfield Champion Insurance Company	1054839	Agent - Casualty	6/9/2021
Active	Westfield Champion Insurance Company	1054839	Agent - Property	6/9/2021
Active	Westfield Insurance Company	301950	Agent - Casualty	11/5/2018
Active	Westfield Insurance Company	301950	Agent - Property	11/5/2018
Active	Westfield National Insurance Company	301036	Agent - Casualty	11/5/2018
Active	Westfield National Insurance Company	301036	Agent - Property	11/5/2018
Active	Westfield Premier Insurance Company	1055055	Agent - Casualty	6/9/2021
Active	Westfield Premier Insurance Company	1055055	Agent - Property	6/9/2021
Active	Westfield Superior Insurance Company	1054978	Agent - Casualty	6/9/2021
Active	Westfield Superior Insurance Company	1054978	Agent - Property	6/9/2021
Active	Westfield Touchstone Insurance Company	1055057	Agent - Casualty	6/9/2021
Active	Westfield Touchstone Insurance Company	1055057	Agent - Property	6/9/2021
Inactive		300277	Agent - Health	12/20/1999	1/1/2007
Inactive		300277	Agent - Life	12/20/1999	1/1/2007

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia of Lexington Inc.	401285	Agent - Casualty	8/15/2000	12/31/2001
Inactive	Acordia of Lexington Inc.	401285	Agent - General Lines	3/7/1995	8/15/2000
Inactive	Acordia of Lexington Inc.	401285	Agent - Health	3/7/1995	12/31/2001
Inactive	Acordia of Lexington Inc.	401285	Agent - Life	3/7/1995	12/31/2001
Inactive	Acordia of Lexington Inc.	401285	Agent - Property	8/15/2000	12/31/2001
Active	Chesky, Jeffrey Carl	692036	Agent - Casualty	3/7/2018
Active	Chesky, Jeffrey Carl	692036	Agent - Life	3/7/2018
Active	Chesky, Jeffrey Carl	692036	Agent - Property	3/7/2018
Inactive	Drury, Julie A	513953	Agent - Casualty	3/7/2001	1/11/2008
Inactive	Drury, Julie A	513953	Agent - Health	3/8/2002	1/11/2008
Inactive	Drury, Julie A	513953	Agent - Life	3/8/2002	1/11/2008
Inactive	Drury, Julie A	513953	Agent - Property	3/7/2001	1/11/2008
Inactive	Gaut, James Robert	319124	Agent - General Lines	1/15/1992	8/15/2000
Inactive	Gaut, James Robert	319124	Agent - Health	1/15/1992	12/7/2000
Inactive	Gaut, James Robert	319124	Agent - Life	1/15/1992	12/7/2000
Inactive	Johns, Judy Durham	311398	Agent - Casualty	8/15/2000	1/12/2005
Inactive	Johns, Judy Durham	311398	Agent - General Lines	11/29/1995	8/15/2000
Inactive	Johns, Judy Durham	311398	Agent - Health	11/29/1995	1/12/2005
Inactive	Johns, Judy Durham	311398	Agent - Life	11/29/1995	1/12/2005
Inactive	Johns, Judy Durham	311398	Agent - Property	8/15/2000	1/12/2005
Inactive	Kuhn, Sara Ann	537006	Agent - Casualty	1/12/2005	7/6/2006
Inactive	Kuhn, Sara Ann	537006	Agent - Health	6/26/2002	7/6/2006
Inactive	Kuhn, Sara Ann	537006	Agent - Life	6/26/2002	7/6/2006
Inactive	Kuhn, Sara Ann	537006	Agent - Property	1/12/2005	7/6/2006
Inactive	Reed, Cynthia Sheak	377994	Agent - Casualty	8/15/2000	3/31/2013
Inactive	Reed, Cynthia Sheak	377994	Agent - Health	12/7/2000	3/31/2013
Inactive	Reed, Cynthia Sheak	377994	Agent - Life	12/7/2000	3/31/2013
Inactive	Reed, Cynthia Sheak	377994	Agent - Property	8/15/2000	3/31/2013
Inactive	Schummers, Michael Kastner	347851	Agent - Casualty	8/15/2000	1/1/2009
Inactive	Schummers, Michael Kastner	347851	Agent - Health	12/7/2000	1/1/2009
Inactive	Schummers, Michael Kastner	347851	Agent - Life	12/7/2000	1/1/2009
Inactive	Schummers, Michael Kastner	347851	Agent - Property	8/15/2000	1/1/2009
Inactive	Spurlock, Timothy David	579988	Agent - Casualty	1/11/2008	3/31/2013
Inactive	Spurlock, Timothy David	579988	Agent - Property	1/11/2008	3/31/2013
Inactive	Violette, Jeffrey W	356526	Agent - Casualty	8/15/2000	6/26/2002
Inactive	Violette, Jeffrey W	356526	Agent - Health	12/7/2000	6/26/2002
Inactive	Violette, Jeffrey W	356526	Agent - Life	12/7/2000	6/26/2002
Inactive	Violette, Jeffrey W	356526	Agent - Property	8/15/2000	6/26/2002