DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	MDM Covenant Ins LLC	DOIID	729124	NAIC NPN	10690146

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	7/23/2011	2/14/2013
Inactive	Non Resident	Agent	Property	5/27/2010	2/14/2013
Inactive	Non Resident	Agent	Casualty	5/27/2010	2/14/2013
Inactive	Non Resident	Agent	Health	7/23/2011	2/14/2013
* 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	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	10/29/2010	10/10/2012
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	10/29/2010	10/10/2012
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	10/29/2010	10/10/2012
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	10/29/2010	10/10/2012
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	9/20/2011	2/14/2013
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	9/20/2011	2/14/2013
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	10/29/2010	10/10/2012
Inactive	The Phoenix Insurance Company	301502	Agent - Property	10/29/2010	10/10/2012
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	10/29/2010	10/10/2012
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	10/29/2010	10/10/2012
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	10/29/2010	10/10/2012
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	10/29/2010	10/10/2012
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	10/29/2010	10/10/2012
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	10/29/2010	10/10/2012
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	10/29/2010	10/10/2012
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	10/29/2010	10/10/2012
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	5/31/2012	2/14/2013
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	5/31/2012	2/14/2013

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Meadows, John Christian	327496	Agent - Casualty	5/26/2010	2/14/2013
Inactive	Meadows, John Christian	327496	Agent - Property	5/26/2010	2/14/2013
Inactive	Tasillo, Carolyn Kaeser	636571	Agent - Health	7/23/2011	2/14/2013
Inactive	Tasillo, Carolyn Kaeser	636571	Agent - Life	7/23/2011	2/14/2013