DEPARTMENT OF INSURANCE

Affiliations

Name	Midwestern Insurance Alliance Inc.	DOIID	401257	NAIC NPN	3007703

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Administrator	Not Applicable	1/12/1988	3/3/2014
Inactive	Resident	Agent	Health	4/23/1993	3/3/2014
Inactive	Resident	Agent	General Lines	5/24/1984	8/15/2000
Inactive	Resident	Agent	Life	5/31/2001	3/3/2014
Inactive	Resident	Agent	Property	8/15/2000	3/3/2014
Inactive	Resident	Agent	Casualty	8/15/2000	3/3/2014
Inactive	Resident	Managing General Agent	Not Applicable	9/22/1999	3/3/2014
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	5/11/1998	9/29/2005
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	5/31/2001	9/29/2005
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	10/15/1991	3/31/1997
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	10/15/1991	3/31/1997
Inactive	American United Life Insurance Company	300498	Agent - Health	6/30/1999	1/19/2007
Inactive	American United Life Insurance Company	300498	Agent - Life	5/31/2001	1/19/2007
Inactive	Avemco Insurance Company	300669	Agent - Health	8/8/2002	2/28/2006
Inactive	Bankers United Life Assurance Company	300296	Agent - Life	6/22/1993	11/18/1998
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	6/27/2001	9/16/2013
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	6/27/2001	9/16/2013
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	Fidelity and Guaranty Insurance Company	301009	Agent - General Lines	11/2/1987	3/31/1996
Inactive	Fidelity and Guaranty Insurance Underwriters Inc.	300559	Agent - General Lines	11/2/1987	3/31/1996
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	10/24/1996	11/15/2013
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	5/31/2001	11/15/2013
Inactive	HCC Life Insurance Company	301827	Agent - Health	8/5/2002	2/28/2006
Inactive	HCC Life Insurance Company	301827	Agent - Life	8/5/2002	2/28/2006
Inactive	HDI Global Select Insurance Company	301205	Agent - General Lines	5/6/1994	12/30/1999
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	8/14/2006	11/7/2008
Inactive	Hartford Accident and Indemnity Company	301917	Agent - General Lines	5/24/1984	3/31/1998
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	8/14/2006	11/7/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	8/14/2006	11/7/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - General Lines	5/24/1984	10/5/1999
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	8/14/2006	11/7/2008
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	8/14/2006	11/7/2008
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	5/24/1984	10/5/1999
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	8/14/2006	11/7/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	8/14/2006	11/7/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - General Lines	11/4/1986	3/31/1998
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	8/14/2006	11/7/2008
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	4/23/1993	3/3/2014
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	5/31/2001	3/3/2014
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	8/14/2006	11/7/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - General Lines	9/26/1989	3/31/1998
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	8/14/2006	11/7/2008
Inactive	John Alden Life Insurance Company	300573	Agent - Health	4/3/2000	1/28/2002
Inactive	John Alden Life Insurance Company	300573	Agent - Life	4/3/2000	1/28/2002
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Health	4/23/1993	8/3/2009
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Life	5/31/2001	8/3/2009
Inactive	Life Insurance Company of Georgia	300267	Agent - Health	12/11/1996	4/21/2000
Inactive	Life Insurance Company of Georgia	300267	Agent - Life	12/11/1996	4/21/2000
Inactive	Life Insurance Company of North America	300711	Agent - Health	11/15/1993	12/21/1998
Inactive	Life Insurance Company of North America	300711	Agent - Life	11/15/1993	12/21/1998
Inactive	Manhattan National Life Insurance Company	301011	Agent - Life	7/10/1990	4/12/2001
Inactive	Nassau Life Insurance Company	301406	Agent - Health	3/8/2000	2/13/2004
Inactive	Nassau Life Insurance Company	301406	Agent - Life	3/8/2000	2/13/2004
Inactive	North Pointe Insurance Company	301029	Agent - Casualty	7/28/2011	3/3/2014
Inactive	North Pointe Insurance Company	301029	Agent - Property	7/28/2011	3/3/2014
Inactive	PHL Variable Insurance Company	300525	Agent - Health	3/8/2000	2/13/2004
Inactive	PHL Variable Insurance Company	300525	Agent - Life	8/29/2006	12/9/2008
Inactive	Praetorian Insurance Company	301021	Agent - Casualty	7/28/2011	3/3/2014
Inactive	Praetorian Insurance Company	301021	Agent - Property	7/28/2011	3/3/2014
Inactive	Principal Life Insurance Company	300129	Agent - Health	4/9/1991	6/22/1999
Inactive	Principal Life Insurance Company	300129	Agent - Life	4/9/1991	6/22/1999
Inactive	Protective Life Insurance Company	300638	Agent - Health	2/16/1999	12/15/2003
Inactive	Protective Life Insurance Company	300638	Agent - Life	2/16/1999	12/15/2003
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/3/1991	10/24/2003
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/3/1991	10/24/2003
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	7/28/2011	3/3/2014
Inactive	QBE Insurance Corporation	300515	Agent - Property	7/28/2011	3/3/2014
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	10/1/2004	2/14/2005
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	8/14/2006	11/7/2008
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	8/14/2006	11/7/2008
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	11/13/1990	12/19/2001
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	11/13/1990	12/19/2001
Inactive	Southland Life Insurance Company	301175	Agent - Life	5/31/2001	10/1/2004
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Health	5/26/1993	3/31/1997
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Life	5/26/1993	3/31/1997
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	4/23/1993	3/3/2014
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	5/31/2001	3/3/2014
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	6/25/1999	5/6/2004
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	6/25/1999	5/6/2004
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	8/14/2006	11/7/2008
Inactive	Twin City Fire Insurance Company	300721	Agent - General Lines	5/24/1984	10/5/1999
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	8/14/2006	11/7/2008
Inactive	Union Central Life Insurance Company	300307	Agent - Health	4/4/1991	3/31/1997
Inactive	Union Central Life Insurance Company	300307	Agent - Life	4/4/1991	3/31/1997
Inactive	Union Security Insurance Company	301844	Agent - Health	2/7/2002	3/3/2014
Inactive	Union Security Insurance Company	301844	Agent - Life	2/7/2002	3/3/2014
Inactive	United States Fidelity and Guaranty Company	301449	Agent - General Lines	11/2/1987	3/31/1996
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Health	10/27/1994	6/6/2001
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Life	10/27/1994	6/6/2001
Inactive	Western Surety Company	300283	Agent - Casualty	8/15/2000	10/26/2001
Inactive	Western Surety Company	300283	Agent - General Lines	8/22/1984	8/15/2000
Inactive	Wilco Life Insurance Company	300122	Agent - Health	4/23/1993	5/19/2009
Inactive	Wilco Life Insurance Company	300122	Agent - Life	1/23/1987	7/24/2001

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Armstrong, Diane Ray	372223	Agent - Casualty	2/20/2004	5/19/2011
Inactive	Armstrong, Diane Ray	372223	Agent - Property	2/20/2004	5/19/2011
Inactive	Chandler, James Thomas	323702	Agent - Casualty	2/20/2004	6/1/2007
Inactive	Chandler, James Thomas	323702	Agent - Property	2/20/2004	6/1/2007
Inactive	Earley, Albert L	390693	Agent - Health	4/1/1992	4/7/1996
Inactive	Earley, Albert L	390693	Agent - Life	4/1/1992	4/7/1996
Inactive	Mitchum, Richard Allen	328102	Agent - Health	2/20/2004	4/1/2011
Inactive	Mitchum, Richard Allen	328102	Agent - Life	2/20/2004	4/1/2011
Inactive	New, Catherine Ann	351087	Administrator - Not Applicable	1/12/1988	6/30/2021
Denied	New, Catherine Ann	351087	Agent - Casualty
Denied	New, Catherine Ann	351087	Agent - Property
Inactive	New, Catherine Ann	351087	Managing General Agent - Not Applicable	9/22/1999	7/1/2011
Inactive	Pate, Sandra Lee	313194	Agent - Casualty	2/20/2004	5/1/2011
Inactive	Pate, Sandra Lee	313194	Agent - Property	2/20/2004	5/1/2011
Inactive	Risen, Albert	390179	Agent - Casualty	2/20/2004	1/12/2011
Inactive	Risen, Albert	390179	Agent - Property	2/20/2004	1/12/2011
Inactive	Risen, Marc H	348078	Administrator - Not Applicable	4/5/1991	3/3/2014
Inactive	Risen, Marc H	348078	Agent - Casualty	7/28/2011	3/3/2014
Inactive	Risen, Marc H	348078	Agent - Property	7/28/2011	3/3/2014
Inactive	Risen, Marc H	348078	Managing General Agent - Not Applicable	9/22/1999	3/3/2014
Inactive	Risen, Norman E	310428	Administrator - Not Applicable	1/12/1988	3/3/2014
Inactive	Risen, Norman E	310428	Agent - Casualty	8/15/2000	5/19/2011
Inactive	Risen, Norman E	310428	Agent - General Lines	4/12/1984	8/15/2000
Inactive	Risen, Norman E	310428	Agent - Health	4/12/1984	3/3/2014
Inactive	Risen, Norman E	310428	Agent - Life	4/12/1984	3/3/2014
Inactive	Risen, Norman E	310428	Agent - Property	8/15/2000	5/19/2011
Inactive	Risen, Norman E	310428	Managing General Agent - Not Applicable	9/22/1999	8/1/2017
Inactive	Sandifer, Tanya Renee Holder	367777	Adjuster - Independent	1/7/1997	9/26/2001

Sponsorships

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brown, Maurice Philip	318367	Solicitor - General Lines	6/2/1993	6/2/1993
Inactive	Cotton, Joseph Francis	383797	Solicitor - General Lines	6/2/1993	6/2/1993
Inactive	Mitchum, Richard Allen	328102	Solicitor - General Lines	4/11/1995	4/11/1995
Inactive	Morris, Lori Gayle	385270	Solicitor - General Lines	9/12/1996	9/12/1996
Inactive	Ray, Donald Craig	312224	Solicitor - General Lines	12/20/1994	12/20/1994
Inactive	Risen, Albert	390179	Solicitor - General Lines	6/2/1993	6/2/1993
Inactive	Rockwood, William F	302252	Solicitor - General Lines	9/8/1995	9/8/1995