DEPARTMENT OF INSURANCE
Affiliations
NameMeadowbrook IncDOIID584308NAIC NPN958566
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentProperty2/27/2004 3/31/2028
ActiveNon ResidentAgentCasualty2/27/2004 3/31/2028
DeniedNon ResidentAgentPersonal Lines   
InactiveNon ResidentAgentLife2/27/200410/5/2023 
InactiveNon ResidentAgentHealth2/27/200410/5/2023 
ActiveNon ResidentSurplus Lines BrokerNot Applicable5/31/2008 3/31/2028
* 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
Inactive21st Century Centennial Insurance Company301840Agent - Casualty3/20/20069/24/2011
Inactive21st Century Centennial Insurance Company301840Agent - Property3/20/20069/24/2011
Inactive21st Century North America Insurance Company300884Agent - Casualty3/20/20069/24/2011
Inactive21st Century North America Insurance Company300884Agent - Property3/20/20069/24/2011
InactiveACE American Insurance Company300625Agent - Casualty6/28/20059/16/2024
InactiveACE American Insurance Company300625Agent - Property6/28/20059/16/2024
InactiveACE Fire Underwriters Insurance Company301679Agent - Casualty11/11/20059/16/2024
InactiveACE Fire Underwriters Insurance Company301679Agent - Property11/11/20059/16/2024
InactiveACE Property and Casualty Insurance Company300520Agent - Casualty11/11/20059/16/2024
InactiveACE Property and Casualty Insurance Company300520Agent - Property11/11/20059/16/2024
InactiveAMCO Insurance Company300204Agent - Casualty9/9/20217/31/2024
InactiveAMCO Insurance Company300204Agent - Property9/9/20217/31/2024
InactiveAccident Fund General Insurance Company626282Agent - Casualty6/30/202011/28/2023
InactiveAccident Fund General Insurance Company626282Agent - Property6/30/20207/26/2020
InactiveAccident Fund Insurance Company of America518734Agent - Casualty6/30/202011/28/2023
InactiveAccident Fund Insurance Company of America518734Agent - Property6/30/20207/26/2020
InactiveAccident Fund National Insurance Company626286Agent - Casualty6/30/202011/28/2023
InactiveAccident Fund National Insurance Company626286Agent - Property6/30/20207/26/2020
InactiveAetna Health Inc. (PA)660717Agent - Health9/14/201010/5/2023
InactiveAetna Life Insurance Company301140Agent - Health9/14/201010/5/2023
InactiveAetna Life Insurance Company301140Agent - Life9/14/201010/5/2023
InactiveAllied Insurance Company of America793586Agent - Casualty9/9/20217/31/2024
InactiveAllied Insurance Company of America793586Agent - Property9/9/20217/31/2024
InactiveAllied Property and Casualty Insurance Company300279Agent - Casualty9/9/20217/31/2024
InactiveAllied Property and Casualty Insurance Company300279Agent - Property9/9/20217/31/2024
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - Casualty8/27/201311/14/2016
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - Property8/27/201311/14/2016
ActiveAmerican Family Home Insurance Company301817Agent - Casualty12/6/2020 
ActiveAmerican Family Home Insurance Company301817Agent - Property12/6/2020 
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health7/1/201510/5/2023
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life7/1/201510/5/2023
InactiveAmerican Fire and Casualty Company300567Agent - Casualty5/27/20153/29/2024
InactiveAmerican Fire and Casualty Company300567Agent - Property5/27/20153/29/2024
InactiveAmerican Home Assurance Company300246Agent - Casualty3/20/20068/8/2025
InactiveAmerican Home Assurance Company300246Agent - Property3/20/20068/8/2025
InactiveAmerican Zurich Insurance Company300592Agent - Casualty11/8/200712/9/2013
InactiveAmerican Zurich Insurance Company300592Agent - Property11/8/200712/9/2013
InactiveAnsur America Insurance Company520667Agent - Casualty8/18/20201/19/2024
InactiveAnsur America Insurance Company520667Agent - Property8/18/20201/19/2024
InactiveArch Indemnity Insurance Company301459Agent - Casualty10/20/202112/6/2023
InactiveArch Indemnity Insurance Company301459Agent - Property10/20/202112/6/2023
InactiveArch Insurance Company300688Agent - Casualty4/1/201012/6/2023
InactiveArch Insurance Company300688Agent - Property4/1/201012/6/2023
InactiveAssurance Company of America300432Agent - Casualty11/8/200712/9/2013
InactiveAssurance Company of America300432Agent - Property11/8/200712/9/2013
InactiveAuto-Owners Insurance Company301480Agent - Casualty2/26/20148/8/2024
InactiveAuto-Owners Insurance Company301480Agent - Property2/26/20148/8/2024
InactiveAuto-Owners Life Insurance Company301368Agent - Health10/6/202010/5/2023
InactiveAuto-Owners Life Insurance Company301368Agent - Life10/6/202010/5/2023
InactiveBankers Standard Insurance Company301620Agent - Casualty7/12/20069/16/2024
InactiveBankers Standard Insurance Company301620Agent - Property7/12/20069/16/2024
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty9/10/200411/30/2017
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Property9/10/200411/30/2017
InactiveCompBenefits Dental, Inc.591692Agent - Health9/22/201010/16/2012
InactiveCompBenefits Insurance Company301864Agent - Health9/22/20106/26/2013
InactiveCompBenefits Insurance Company301864Agent - Life9/22/20106/26/2013
InactiveConsolidated Insurance Company300943Agent - Casualty5/27/201510/13/2022
InactiveConsolidated Insurance Company300943Agent - Property5/27/201510/13/2022
InactiveContinental Casualty Company301019Agent - Casualty8/27/201312/26/2023
InactiveContinental Casualty Company301019Agent - Property8/27/201312/26/2023
InactiveContinental Insurance Company (The)301242Agent - Casualty4/1/201912/26/2023
InactiveContinental Insurance Company (The)301242Agent - Property4/1/201912/26/2023
InactiveDental Concern Inc. (The)301641Agent - Health9/22/201010/16/2012
InactiveDepositors Insurance Company301634Agent - Casualty9/9/20217/31/2024
InactiveDepositors Insurance Company301634Agent - Property9/9/20217/31/2024
InactiveEmployers Assurance Company300120Agent - Casualty9/10/20155/2/2019
InactiveEmployers Compensation Insurance Company797885Agent - Casualty8/6/20185/2/2019
ActiveEmployers Insurance Company of Wausau301813Agent - Casualty7/16/2018 
ActiveEmployers Insurance Company of Wausau301813Agent - Property7/16/2018 
InactiveEmployers Preferred Insurance Company520656Agent - Casualty9/10/20155/2/2019
InactiveEverest National Insurance Company301319Agent - Casualty10/1/20141/1/2021
InactiveEverest National Insurance Company301319Agent - Property10/1/20141/1/2021
InactiveFarmington Casualty Company301137Agent - Casualty5/9/200612/5/2013
InactiveFarmington Casualty Company301137Agent - Property5/9/200612/5/2013
InactiveFederal Insurance Company301144Agent - Casualty8/24/20179/16/2024
InactiveFederal Insurance Company301144Agent - Property8/24/20179/16/2024
InactiveFidelity and Deposit Company of Maryland300976Agent - Casualty12/27/20138/22/2024
InactiveFidelity and Deposit Company of Maryland300976Agent - Property12/27/20138/22/2024
ActiveFirst Liberty Insurance Corporation (The)301060Agent - Casualty7/16/2018 
ActiveFirst Liberty Insurance Corporation (The)301060Agent - Property7/16/2018 
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty11/20/20128/29/2018
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property11/20/20128/29/2018
InactiveForemost Property and Casualty Insurance Company300871Agent - Casualty11/20/20128/29/2018
InactiveForemost Property and Casualty Insurance Company300871Agent - Property11/20/20128/29/2018
InactiveForemost Signature Insurance Company300140Agent - Casualty11/20/20128/29/2018
InactiveForemost Signature Insurance Company300140Agent - Property11/20/20128/29/2018
InactiveFrankenmuth Insurance Company301481Agent - Casualty9/29/20201/19/2024
InactiveFrankenmuth Insurance Company301481Agent - Property8/18/20201/19/2024
InactiveGerber Life Insurance Company300529Agent - Health7/28/201012/17/2012
InactiveGerber Life Insurance Company300529Agent - Life7/28/201012/17/2012
InactiveGolden Rule Insurance Company301943Agent - Health4/15/201010/5/2023
InactiveGolden Rule Insurance Company301943Agent - Life4/15/201010/5/2023
InactiveGreat American Insurance Company301586Agent - Health3/16/202310/5/2023
InactiveHartford Accident and Indemnity Company301917Agent - Casualty12/6/200611/7/2008
InactiveHartford Accident and Indemnity Company301917Agent - Property12/6/200611/7/2008
InactiveHartford Casualty Insurance Company301332Agent - Casualty12/6/200612/22/2023
InactiveHartford Casualty Insurance Company301332Agent - Property12/6/200612/22/2023
InactiveHartford Fire Insurance Company300628Agent - Casualty12/6/200612/22/2023
InactiveHartford Fire Insurance Company300628Agent - Property12/6/200612/22/2023
InactiveHartford Insurance Company of the Midwest301918Agent - Casualty12/6/200611/7/2008
InactiveHartford Insurance Company of the Midwest301918Agent - Property12/6/200611/7/2008
InactiveHartford Underwriters Insurance Company301064Agent - Casualty12/6/200612/22/2023
InactiveHartford Underwriters Insurance Company301064Agent - Property12/6/200612/22/2023
InactiveHumana Health Plan, Inc.300142Agent - Health9/22/201010/16/2012
InactiveHumana Insurance Company301104Agent - Health9/22/201010/16/2012
InactiveHumana Insurance Company301104Agent - Life9/22/201010/16/2012
InactiveHumana Insurance Company of Kentucky300826Agent - Health9/22/201010/16/2012
InactiveHumana Insurance Company of Kentucky300826Agent - Life9/22/201010/16/2012
InactiveHumanaDental Insurance Company301457Agent - Health9/22/20102/23/2012
InactiveHumanaDental Insurance Company301457Agent - Life9/22/20102/23/2012
InactiveIndemnity Insurance Company of North America301760Agent - Casualty11/11/20059/16/2024
InactiveIndemnity Insurance Company of North America301760Agent - Property11/11/20059/16/2024
InactiveIndiana Insurance Company301909Agent - Casualty5/27/20152/3/2023
InactiveIndiana Insurance Company301909Agent - Property5/27/20152/3/2023
InactiveInsurance Company of North America300226Agent - Casualty6/28/20059/16/2024
InactiveInsurance Company of North America300226Agent - Property6/28/20059/16/2024
InactiveKanawha Insurance Company300127Agent - Health9/22/201010/16/2012
InactiveKanawha Insurance Company300127Agent - Life9/22/201010/16/2012
ActiveLM Insurance Corporation301061Agent - Casualty7/16/2018 
ActiveLM Insurance Corporation301061Agent - Property7/16/2018 
ActiveLiberty Insurance Corporation300444Agent - Casualty7/16/2018 
ActiveLiberty Insurance Corporation300444Agent - Property7/16/2018 
ActiveLiberty Mutual Fire Insurance Company301913Agent - Casualty7/16/2018 
ActiveLiberty Mutual Fire Insurance Company301913Agent - Property7/16/2018 
ActiveLiberty Mutual Insurance Company301159Agent - Casualty3/16/2015 
ActiveLiberty Mutual Insurance Company301159Agent - Property3/16/2015 
InactiveLifeSecure Insurance Company301629Agent - Health6/4/20102/5/2015
InactiveLifeSecure Insurance Company301629Agent - Life6/4/201011/27/2012
InactiveMaryland Casualty Company301719Agent - Casualty11/8/200712/9/2013
InactiveMaryland Casualty Company301719Agent - Property11/8/200712/9/2013
InactiveMassachusetts Bay Insurance Company300898Agent - Casualty1/4/20248/23/2024
InactiveMassachusetts Bay Insurance Company300898Agent - Property1/4/20248/23/2024
InactiveMeridian Security Insurance Company300423Agent - Casualty5/23/201310/17/2024
InactiveMeridian Security Insurance Company300423Agent - Property5/23/201310/17/2024
InactiveMilbank Insurance Company925185Agent - Casualty11/8/201710/17/2024
InactiveMilbank Insurance Company925185Agent - Property11/8/201710/17/2024
InactiveMutual of Omaha Insurance Company301012Agent - Health7/29/20101/23/2014
InactiveNational Fire Insurance Company of Hartford301063Agent - Casualty8/27/201311/14/2016
InactiveNational Fire Insurance Company of Hartford301063Agent - Property8/27/201311/14/2016
InactiveNational Specialty Insurance Company300993Agent - Casualty3/1/20148/2/2023
InactiveNational Specialty Insurance Company300993Agent - Property3/1/20148/2/2023
InactiveNationwide Agribusiness Insurance Company301008Agent - Casualty9/9/20217/31/2024
InactiveNationwide Agribusiness Insurance Company301008Agent - Property9/9/20217/31/2024
InactiveNationwide Assurance Company300166Agent - Casualty9/9/20217/31/2024
InactiveNationwide Assurance Company300166Agent - Property9/9/20217/31/2024
InactiveNationwide General Insurance Company300603Agent - Casualty9/9/20217/31/2024
InactiveNationwide General Insurance Company300603Agent - Property9/9/20217/31/2024
InactiveNationwide Insurance Company of America300333Agent - Casualty9/9/20217/31/2024
InactiveNationwide Insurance Company of America300333Agent - Property9/9/20217/31/2024
InactiveNationwide Mutual Insurance Company301749Agent - Casualty9/9/20217/31/2024
InactiveNationwide Mutual Insurance Company301749Agent - Property9/9/20217/31/2024
InactiveNationwide Property and Casualty Insurance Company300599Agent - Casualty9/9/20217/31/2024
InactiveNationwide Property and Casualty Insurance Company300599Agent - Property9/9/20217/31/2024
InactiveNetherlands Insurance Company (The)300339Agent - Casualty5/27/20155/10/2024
InactiveNetherlands Insurance Company (The)300339Agent - Property5/27/20155/10/2024
InactiveNorth River Insurance Company (The)301739Agent - Property6/18/20182/18/2025
InactiveNorthern Insurance Company of New York301317Agent - Casualty11/8/200712/9/2013
InactiveNorthern Insurance Company of New York301317Agent - Property11/8/200712/9/2013
InactiveOhio Casualty Insurance Company301492Agent - Casualty5/27/20153/29/2024
InactiveOhio Casualty Insurance Company301492Agent - Property5/27/20153/29/2024
InactiveOhio Security Insurance Company300622Agent - Casualty5/27/20153/29/2024
InactiveOhio Security Insurance Company300622Agent - Property5/27/20153/29/2024
InactiveOmaha Insurance Company751908Agent - Health4/9/20121/23/2014
InactiveOwners Insurance Company300796Agent - Casualty2/26/20148/8/2024
InactiveOwners Insurance Company300796Agent - Property2/26/20148/8/2024
InactivePacifiCare Life and Health Insurance Company301304Agent - Health4/19/201111/4/2011
InactivePacific Employers Insurance Company301753Agent - Casualty11/11/20059/16/2024
InactivePacific Employers Insurance Company301753Agent - Property11/11/20059/16/2024
InactivePeerless Indemnity Insurance Company571682Agent - Casualty5/27/20159/26/2024
InactivePeerless Indemnity Insurance Company571682Agent - Property5/27/20159/26/2024
InactivePeerless Insurance Company301910Agent - Casualty5/27/20155/8/2025
InactivePeerless Insurance Company301910Agent - Property5/27/20155/8/2025
InactiveProvident Life and Accident Insurance Company301525Agent - Health10/1/201010/5/2023
InactiveProvident Life and Accident Insurance Company301525Agent - Life10/1/201010/5/2023
InactiveRevol One Insurance Company300681Agent - Life8/5/201110/12/2011
InactiveSentinel Insurance Company, Limited501696Agent - Casualty12/5/201312/22/2023
InactiveSentinel Insurance Company, Limited501696Agent - Property12/5/201312/22/2023
InactiveSt. Paul Fire and Marine Insurance Company300782Agent - Casualty9/22/200412/5/2013
InactiveSt. Paul Fire and Marine Insurance Company300782Agent - Property9/22/200412/5/2013
InactiveStandard Fire Insurance Company (The)301068Agent - Casualty5/9/20068/23/2024
InactiveStandard Fire Insurance Company (The)301068Agent - Property5/9/20068/23/2024
InactiveStandard Life and Accident Insurance Company301534Agent - Health8/12/201410/5/2023
ActiveStar Insurance Company301553Agent - Casualty6/12/2009 
ActiveStar Insurance Company301553Agent - Property6/12/2009 
InactiveState Auto Property & Casualty Insurance Company301953Agent - Casualty5/23/201310/17/2024
InactiveState Auto Property & Casualty Insurance Company301953Agent - Property5/23/201310/17/2024
InactiveState Automobile Mutual Insurance Company301824Agent - Casualty5/23/201310/17/2024
InactiveState Automobile Mutual Insurance Company301824Agent - Property5/23/201310/17/2024
InactiveState National Insurance Company, Inc.300888Agent - Casualty8/1/20138/2/2023
InactiveState National Insurance Company, Inc.300888Agent - Property8/1/20138/2/2023
InactiveThe Phoenix Insurance Company301502Agent - Casualty9/10/200412/5/2013
InactiveThe Phoenix Insurance Company301502Agent - Property9/10/200412/5/2013
InactiveTransportation Insurance Company301575Agent - Casualty7/7/202312/26/2023
InactiveTransportation Insurance Company301575Agent - Property7/7/202312/26/2023
InactiveTravelers Casualty Insurance Company of America300522Agent - Casualty5/9/20068/23/2024
InactiveTravelers Casualty Insurance Company of America300522Agent - Property5/9/20068/23/2024
InactiveTravelers Casualty and Surety Company301067Agent - Casualty9/10/20048/23/2024
InactiveTravelers Casualty and Surety Company301067Agent - Property9/10/20048/23/2024
InactiveTravelers Commercial Casualty Company301695Agent - Casualty5/9/200612/9/2009
InactiveTravelers Commercial Casualty Company301695Agent - Property5/9/200612/9/2009
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty5/23/200712/5/2013
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Property5/23/200712/5/2013
InactiveTravelers Indemnity Company (The)301855Agent - Casualty9/10/200412/9/2009
InactiveTravelers Indemnity Company (The)301855Agent - Property9/10/200412/9/2009
InactiveTravelers Indemnity Company of America (The)301093Agent - Casualty9/10/200410/5/2021
InactiveTravelers Indemnity Company of America (The)301093Agent - Property9/10/200410/5/2021
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Casualty9/10/200412/21/2015
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Property9/10/200412/21/2015
InactiveTravelers Property Casualty Company of America301649Agent - Casualty9/10/20048/23/2024
InactiveTravelers Property Casualty Company of America301649Agent - Property9/10/20048/23/2024
InactiveTwin City Fire Insurance Company300721Agent - Casualty12/6/200611/7/2008
InactiveTwin City Fire Insurance Company300721Agent - Property12/6/200611/7/2008
InactiveU.S. Underwriters Insurance Company815455Agent - Casualty2/28/201910/7/2020
InactiveU.S. Underwriters Insurance Company815455Agent - Property2/28/201910/7/2020
InactiveUNUM Life Insurance Company of America300817Agent - Health10/1/201010/5/2023
InactiveUNUM Life Insurance Company of America300817Agent - Life10/1/201010/5/2023
InactiveUnited States Fidelity and Guaranty Company301449Agent - Casualty9/22/200412/9/2009
InactiveUnited States Fidelity and Guaranty Company301449Agent - Property9/22/200412/9/2009
InactiveUnited of Omaha Life Insurance Company300156Agent - Health7/29/20101/23/2014
InactiveUnited of Omaha Life Insurance Company300156Agent - Life7/29/20101/23/2014
InactiveUnitedHealthcare Insurance Company300946Agent - Health9/16/201610/5/2023
InactiveUnitedHealthcare Insurance Company300946Agent - Life9/16/201610/5/2023
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health9/24/201012/1/2016
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health4/6/202210/5/2023
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/12/20153/4/2016
InactiveUniversal Surety of America301078Agent - Casualty7/13/20209/18/2020
InactiveValley Forge Insurance Company301052Agent - Casualty7/10/201712/26/2023
InactiveValley Forge Insurance Company301052Agent - Property7/10/201712/26/2023
InactiveWest American Insurance Company301112Agent - Casualty5/27/20153/29/2024
InactiveWest American Insurance Company301112Agent - Property5/27/20153/29/2024
InactiveWestchester Fire Insurance Company301414Agent - Casualty6/10/20061/1/2011
InactiveWestchester Fire Insurance Company300990Agent - Casualty1/1/20119/16/2024
InactiveWestchester Fire Insurance Company301414Agent - Property6/10/20061/1/2011
InactiveWestchester Fire Insurance Company300990Agent - Property1/1/20119/16/2024
InactiveWestern Surety Company300283Agent - Casualty12/5/20068/9/2024
InactiveZurich American Insurance Company301121Agent - Casualty12/27/20138/22/2024
InactiveZurich American Insurance Company301121Agent - Property12/27/20138/22/2024
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllen, Kenn Rene 311701Agent - Casualty2/27/200410/28/2020
InactiveAllen, Kenn Rene 311701Agent - Health7/8/201010/28/2020
InactiveAllen, Kenn Rene 311701Agent - Life7/8/201010/28/2020
InactiveAllen, Kenn Rene 311701Agent - Property2/27/200410/28/2020
InactiveAllen, Kenn Rene 311701Surplus Lines Broker - Not Applicable5/31/200812/30/2020
ActiveBrown, William Ilg 1093757Agent - Casualty10/30/2023 
ActiveBrown, William Ilg 1093757Agent - Property10/30/2023 
ActiveBrown, William Ilg 1093757Surplus Lines Broker - Not Applicable4/18/2023 
InactiveFry, Richard Marvin 370972Agent - Casualty2/27/20042/5/2007
InactiveFry, Richard Marvin 370972Agent - Property2/27/20042/5/2007
InactiveSheeran, David N 1074909Agent - Casualty10/28/202010/5/2023
InactiveSheeran, David N 1074909Agent - Health10/28/202010/5/2023
InactiveSheeran, David N 1074909Agent - Life10/28/202010/5/2023
InactiveSheeran, David N 1074909Agent - Property10/28/202010/5/2023
InactiveSheeran, David N 1074909Surplus Lines Broker - Not Applicable10/28/202010/5/2023
InactiveSmith, Steven Mark 534735Agent - Health2/27/20044/30/2010
InactiveSmith, Steven Mark 534735Agent - Life2/27/20044/30/2010

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