DEPARTMENT OF INSURANCE

Affiliations

Name	The MPM Group LLC	DOIID	550302	NAIC NPN	7307352

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Life	6/10/2002	3/31/2026
Active	Resident	Agent	Casualty	5/30/2002	3/31/2026
Active	Resident	Agent	Health	6/10/2002	3/31/2026
Active	Resident	Agent	Property	5/30/2002	3/31/2026
* 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	Aetna Health Inc.	300694	Agent - Health	9/12/2002	12/31/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	10/19/2017	7/27/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/19/2017	7/27/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/19/2017	7/27/2022
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	4/3/2007	5/20/2008
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	4/3/2007	5/20/2008
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Health	4/15/2003	2/13/2008
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Life	4/15/2003	2/13/2008
Active	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	5/1/2007
Active	American Guarantee and Liability Insurance Company	301216	Agent - Property	5/1/2007
Active	American Heritage Life Insurance Company	300272	Agent - Health	4/2/2003
Active	American Heritage Life Insurance Company	300272	Agent - Life	4/2/2003
Active	American Zurich Insurance Company	300592	Agent - Casualty	5/1/2007
Active	American Zurich Insurance Company	300592	Agent - Property	5/1/2007
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/12/2006	10/20/2018
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	1/12/2006	10/16/2012
Active	Anthem Life Insurance Company	301209	Agent - Health	11/17/2018
Active	Anthem Life Insurance Company	301209	Agent - Life	11/17/2018
Active	Assurity Life Insurance Company	301099	Agent - Health	4/24/2022
Active	Assurity Life Insurance Company	301099	Agent - Life	4/24/2022
Active	Banner Life Insurance Company	301696	Agent - Life	9/16/2013
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	12/5/2006	3/31/2019
Inactive	Conseco Health Insurance Company	301725	Agent - Health	7/27/2010	10/1/2010
Inactive	Conseco Health Insurance Company	301725	Agent - Life	7/27/2010	10/1/2010
Inactive	Conseco Insurance Company	301202	Agent - Health	7/27/2010	10/1/2010
Inactive	Conseco Insurance Company	301202	Agent - Life	7/27/2010	10/1/2010
Active	Continental American Insurance Company	301700	Agent - Health	12/12/2005
Active	Continental American Insurance Company	301700	Agent - Life	12/12/2005
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	10/19/2017	6/15/2022
Inactive	Farmers Casualty Insurance Company	301616	Agent - Casualty	5/30/2002	6/3/2009
Inactive	Farmers Casualty Insurance Company	301616	Agent - Property	5/30/2002	6/3/2009
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	5/30/2002	6/3/2009
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	5/30/2002	6/3/2009
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	5/30/2002	6/3/2009
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	5/30/2002	6/3/2009
Active	Fidelity Security Life Insurance Company	300466	Agent - Health	5/7/2003
Active	Fidelity Security Life Insurance Company	300466	Agent - Life	5/7/2003
Active	HCC Life Insurance Company	301827	Agent - Health	7/31/2019
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	4/14/2005
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	4/14/2005
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/23/2005	9/9/2010
Inactive	Humana Insurance Company	301104	Agent - Health	5/23/2005	9/9/2010
Inactive	Humana Insurance Company	301104	Agent - Life	5/23/2005	9/9/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/23/2005	9/9/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/23/2005	9/9/2010
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	10/27/2005	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	10/27/2005	7/2/2007
Inactive	John Hancock Life & Health Insurance Company	300450	Agent - Health	4/9/2009	5/24/2017
Inactive	John Hancock Life & Health Insurance Company	300450	Agent - Life	4/9/2009	5/24/2017
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	6/30/2005	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	6/30/2005	12/30/2009
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	12/30/2009
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	12/30/2009
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	6/30/2007
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	6/30/2007
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	5/30/2002	6/3/2009
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	5/30/2002	6/3/2009
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	6/10/2002	12/17/2014
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	6/10/2002	12/17/2014
Active	Minnesota Life Insurance Company	300488	Agent - Health	11/21/2006
Active	Minnesota Life Insurance Company	300488	Agent - Life	11/21/2006
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	5/12/2014	4/26/2019
Active	Pacific Life Insurance Company	301848	Agent - Life	10/9/2020
Active	Principal Life Insurance Company	300129	Agent - Health	1/29/2007
Active	Principal Life Insurance Company	300129	Agent - Life	1/29/2007
Active	Principal National Life Insurance Company	301926	Agent - Life	9/13/2016
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	1/17/2005	12/30/2009
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	1/17/2005	12/30/2009
Active	Pruco Life Insurance Company	300954	Agent - Life	5/31/2017
Active	Prudential Insurance Company of America	300784	Agent - Health	5/17/2022
Active	Prudential Insurance Company of America	300784	Agent - Life	5/17/2022
Active	Swiss Re Corporate Solutions America Insurance Corporation	300338	Agent - Health	5/11/2021
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	6/17/2013	5/11/2023
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	6/17/2013	5/11/2023
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	1/28/2003	10/5/2005
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	1/28/2003	10/5/2005
Active	Trustmark Insurance Company	300317	Agent - Health	1/20/2008
Active	Trustmark Insurance Company	300317	Agent - Life	1/20/2008
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	4/24/2007	10/24/2007
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	1/17/2005	12/30/2009
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	1/17/2005	12/30/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/9/2004	11/30/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	1/9/2004	11/30/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	1/9/2004	11/30/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	1/9/2004	11/30/2016
Inactive	Washington National Insurance Company	300587	Agent - Health	10/1/2010	2/27/2014
Inactive	Washington National Insurance Company	300587	Agent - Life	10/1/2010	2/27/2014
Active	Wellpoint Life and Health Insurance Company	300469	Agent - Health	8/10/2006
Active	Wellpoint Life and Health Insurance Company	300469	Agent - Life	8/10/2006
Inactive	Westport Insurance Corporation	301875	Agent - Health	6/1/2018	4/20/2023
Active	Zurich American Insurance Company	301121	Agent - Casualty	5/1/2007
Active	Zurich American Insurance Company	301121	Agent - Property	5/1/2007
Active	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	5/1/2007
Active	Zurich American Insurance Company of Illinois	301805	Agent - Property	5/1/2007

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Baldwin, Dale Eugene	337792	Agent - Casualty	5/30/2002
Active	Baldwin, Dale Eugene	337792	Agent - Health	6/10/2002
Active	Baldwin, Dale Eugene	337792	Agent - Life	6/10/2002
Active	Baldwin, Dale Eugene	337792	Agent - Property	5/30/2002
Inactive	Carroll, David Wayne	575220	Agent - Health	3/1/2007	2/1/2024
Inactive	Carroll, David Wayne	575220	Agent - Life	3/1/2007	2/1/2024
Inactive	Jordan, Nicole Kay	561122	Agent - Health	2/21/2003	6/30/2013
Inactive	Jordan, Nicole Kay	561122	Agent - Life	2/21/2003	6/30/2013
Inactive	Moloney, Willial Edward	315505	Agent - Health	2/21/2003	1/9/2004
Inactive	Moloney, Willial Edward	315505	Agent - Life	2/21/2003	1/9/2004
Pending Replacement	Prewitt, Albert A	391759	Agent - Health	3/7/2007
Pending Replacement	Prewitt, Albert A	391759	Agent - Life	3/7/2007
Inactive	Wade, Susan Pyles	377958	Agent - Health	1/9/2004	8/31/2008
Inactive	Wade, Susan Pyles	377958	Agent - Life	1/9/2004	8/31/2008