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DEPARTMENT OF INSURANCE
Affiliations
Name
First Insurance Group Of The Midwest Inc
DBA : First Insurance Group
DOIID
770983
NAIC NPN
2827188
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Pending Replacement
Non Resident
Agent
Casualty
12/18/2011
3/31/2025
Pending Replacement
Non Resident
Agent
Health
3/17/2021
3/31/2025
Pending Replacement
Non Resident
Agent
Life
3/17/2021
3/31/2025
Pending Replacement
Non Resident
Agent
Property
12/18/2011
3/31/2025
* 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
Accendo Insurance Company
300312
Agent - Health
9/10/2021
11/17/2023
Pending Replacement
Aetna Health Inc. (PA)
660717
Agent - Health
4/8/2021
Pending Replacement
Aetna Health of Ohio Inc.
1065035
Agent - Health
3/22/2021
Pending Replacement
Aetna Life Insurance Company
301140
Agent - Health
4/8/2021
Pending Replacement
All America Insurance Company
300078
Agent - Casualty
1/13/2023
Pending Replacement
All America Insurance Company
300078
Agent - Property
1/13/2023
Inactive
American Family Home Insurance Company
301817
Agent - Casualty
2/10/2022
1/23/2024
Inactive
American Family Home Insurance Company
301817
Agent - Property
2/10/2022
1/23/2024
Pending Replacement
Anthem Health Plans of Kentucky, Inc.
300999
Agent - Health
3/30/2021
Inactive
Anthem Life Insurance Company
301209
Agent - Health
3/30/2021
4/15/2025
Inactive
Anthem Life Insurance Company
301209
Agent - Life
3/30/2021
4/15/2025
Inactive
Auto-Owners Insurance Company
301480
Agent - Casualty
5/15/2018
9/21/2023
Inactive
Auto-Owners Insurance Company
301480
Agent - Property
5/15/2018
9/21/2023
Inactive
Automobile Insurance Company of Hartford, Connecticut
300630
Agent - Casualty
7/13/2022
10/26/2023
Inactive
Automobile Insurance Company of Hartford, Connecticut
300630
Agent - Property
7/13/2022
10/26/2023
Inactive
BrickStreet Mutual Insurance Company
709251
Agent - Casualty
11/27/2021
11/27/2021
Inactive
Care Improvement Plus South Central Insurance Company
799697
Agent - Health
3/21/2023
7/20/2024
Pending Replacement
Central Insurance Company
300965
Agent - Casualty
1/13/2023
Pending Replacement
Central Insurance Company
300965
Agent - Property
1/13/2023
Inactive
Charter Oak Fire Insurance Company (The)
301501
Agent - Casualty
2/14/2012
12/9/2013
Inactive
Charter Oak Fire Insurance Company (The)
301501
Agent - Property
2/14/2012
12/9/2013
Inactive
Cincinnati Insurance Company
301298
Agent - Casualty
2/15/2012
1/22/2024
Inactive
Cincinnati Insurance Company
301298
Agent - Property
2/15/2012
1/22/2024
Inactive
Farmington Casualty Company
301137
Agent - Casualty
2/14/2012
12/9/2013
Inactive
Farmington Casualty Company
301137
Agent - Property
2/14/2012
12/9/2013
Pending Replacement
Guaranty Income Life Insurance Company
552451
Agent - Health
3/17/2023
Pending Replacement
Guaranty Income Life Insurance Company
552451
Agent - Life
3/17/2023
Inactive
Life Insurance Company of North America
300711
Agent - Health
4/23/2021
4/11/2025
Inactive
Life Insurance Company of North America
300711
Agent - Life
4/23/2021
4/11/2025
Inactive
Meridian Security Insurance Company
300423
Agent - Casualty
11/19/2014
1/25/2024
Inactive
Meridian Security Insurance Company
300423
Agent - Property
11/19/2014
1/25/2024
Inactive
Milbank Insurance Company
925185
Agent - Casualty
11/8/2017
1/25/2024
Inactive
Milbank Insurance Company
925185
Agent - Property
11/8/2017
1/25/2024
Inactive
NorthStone Insurance Company
818905
Agent - Casualty
11/27/2021
11/27/2021
Inactive
Ohio Casualty Insurance Company
301492
Agent - Casualty
1/25/2017
3/29/2024
Inactive
Ohio Casualty Insurance Company
301492
Agent - Property
1/25/2017
3/29/2024
Inactive
PinnaclePoint Insurance Company
819085
Agent - Casualty
11/27/2021
11/27/2021
Inactive
Selective Insurance Company of the Southeast
300381
Agent - Casualty
12/7/2015
11/9/2018
Inactive
Selective Insurance Company of the Southeast
300381
Agent - Property
12/7/2015
11/9/2018
Pending Replacement
SilverScript Insurance Company
663526
Agent - Health
3/22/2021
Inactive
St. Paul Fire and Marine Insurance Company
300782
Agent - Casualty
2/14/2012
12/9/2013
Inactive
St. Paul Fire and Marine Insurance Company
300782
Agent - Property
2/14/2012
12/9/2013
Inactive
St. Paul Guardian Insurance Company
301372
Agent - Casualty
2/14/2012
12/9/2013
Inactive
St. Paul Guardian Insurance Company
301372
Agent - Property
2/14/2012
12/9/2013
Inactive
St. Paul Mercury Insurance Company
300783
Agent - Casualty
2/14/2012
12/9/2013
Inactive
St. Paul Mercury Insurance Company
300783
Agent - Property
2/14/2012
12/9/2013
Inactive
Standard Fire Insurance Company (The)
301068
Agent - Casualty
2/14/2012
12/9/2013
Inactive
Standard Fire Insurance Company (The)
301068
Agent - Property
2/14/2012
12/9/2013
Inactive
State Auto Property & Casualty Insurance Company
301953
Agent - Casualty
11/19/2014
1/25/2024
Inactive
State Auto Property & Casualty Insurance Company
301953
Agent - Property
11/19/2014
1/25/2024
Inactive
State Automobile Mutual Insurance Company
301824
Agent - Casualty
11/19/2014
1/25/2024
Inactive
State Automobile Mutual Insurance Company
301824
Agent - Property
11/19/2014
1/25/2024
Inactive
SummitPoint Insurance Company
819084
Agent - Casualty
11/27/2021
11/27/2021
Pending Replacement
TNUS Insurance Company
593776
Agent - Casualty
8/11/2023
Pending Replacement
TNUS Insurance Company
593776
Agent - Property
8/11/2023
Inactive
The Phoenix Insurance Company
301502
Agent - Casualty
2/14/2012
12/9/2013
Inactive
The Phoenix Insurance Company
301502
Agent - Property
2/14/2012
12/9/2013
Pending Replacement
Tokio Marine America Insurance Company
786458
Agent - Casualty
8/11/2023
Pending Replacement
Tokio Marine America Insurance Company
786458
Agent - Property
8/11/2023
Pending Replacement
Trans Pacific Insurance Company
300076
Agent - Casualty
8/11/2023
Pending Replacement
Trans Pacific Insurance Company
300076
Agent - Property
8/11/2023
Inactive
Travelers Casualty Insurance Company of America
300522
Agent - Casualty
2/14/2012
12/9/2013
Inactive
Travelers Casualty Insurance Company of America
300522
Agent - Property
2/14/2012
12/9/2013
Inactive
Travelers Casualty and Surety Company
301067
Agent - Casualty
2/14/2012
10/26/2023
Inactive
Travelers Casualty and Surety Company
301067
Agent - Property
2/14/2012
10/26/2023
Inactive
Travelers Casualty and Surety Company of America
301334
Agent - Casualty
2/14/2012
10/26/2023
Inactive
Travelers Casualty and Surety Company of America
301334
Agent - Property
2/14/2012
10/26/2023
Inactive
Travelers Home and Marine Insurance Company (The)
301802
Agent - Casualty
7/13/2022
10/26/2023
Inactive
Travelers Home and Marine Insurance Company (The)
301802
Agent - Property
7/13/2022
10/26/2023
Inactive
Travelers Indemnity Company (The)
301855
Agent - Casualty
2/14/2012
12/9/2013
Inactive
Travelers Indemnity Company (The)
301855
Agent - Property
2/14/2012
12/9/2013
Inactive
Travelers Indemnity Company of America (The)
301093
Agent - Casualty
2/14/2012
12/9/2013
Inactive
Travelers Indemnity Company of America (The)
301093
Agent - Property
2/14/2012
12/9/2013
Inactive
Travelers Indemnity Company of Connecticut (The)
301591
Agent - Casualty
2/14/2012
12/9/2013
Inactive
Travelers Indemnity Company of Connecticut (The)
301591
Agent - Property
2/14/2012
12/9/2013
Inactive
Travelers Property Casualty Company of America
301649
Agent - Casualty
2/14/2012
12/9/2013
Inactive
Travelers Property Casualty Company of America
301649
Agent - Property
2/14/2012
12/9/2013
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
7/22/2024
12/17/2024
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Life
3/17/2021
12/17/2024
Inactive
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health
3/30/2022
12/17/2024
Inactive
UnitedHealthcare of Ohio, Inc.
300493
Agent - Health
3/17/2021
12/17/2024
Inactive
UnitedHealthcare of Wisconsin, Inc.
871491
Agent - Health
3/21/2023
7/20/2024
Inactive
WellCare Health Insurance Company of Kentucky, Inc.
301478
Agent - Health
1/13/2023
3/1/2025
Inactive
WellCare Prescription Insurance Inc.
654329
Agent - Health
1/13/2023
3/1/2025
Pending Replacement
Westfield Insurance Company
301950
Agent - Casualty
8/20/2018
Pending Replacement
Westfield Insurance Company
301950
Agent - Property
8/20/2018
Pending Replacement
Westfield National Insurance Company
301036
Agent - Casualty
8/24/2020
Pending Replacement
Westfield National Insurance Company
301036
Agent - Property
8/24/2020
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Bond, Kimberly P
1124187
Agent - Health
3/17/2021
3/31/2023
Inactive
Bond, Kimberly P
1124187
Agent - Life
3/17/2021
3/31/2023
Active
Kruse, Justin M
969022
Agent - Casualty
1/10/2023
Active
Kruse, Justin M
969022
Agent - Health
6/15/2023
Active
Kruse, Justin M
969022
Agent - Life
6/15/2023
Active
Kruse, Justin M
969022
Agent - Property
1/10/2023
Inactive
Mehdikhan, Nickolas Shane
928815
Agent - Casualty
4/12/2021
1/10/2023
Denied
Mehdikhan, Nickolas Shane
928815
Agent - Health
Denied
Mehdikhan, Nickolas Shane
928815
Agent - Life
Inactive
Mehdikhan, Nickolas Shane
928815
Agent - Property
4/12/2021
1/10/2023
Inactive
Payak, John
391699
Agent - Casualty
12/18/2011
1/10/2023
Inactive
Payak, John
391699
Agent - Property
12/18/2011
1/10/2023
Inactive
Woods, Lawrence H
993514
Agent - Casualty
6/14/2018
3/31/2022
Inactive
Woods, Lawrence H
993514
Agent - Property
6/14/2018
3/31/2022
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