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
Inactive	Non Resident	Agent	Health	3/17/2021	3/31/2025
Inactive	Non Resident	Agent	Casualty	12/18/2011	3/31/2025
Inactive	Non Resident	Agent	Life	3/17/2021	3/31/2025
Inactive	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.

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
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	4/8/2021	3/31/2025
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	3/22/2021	3/31/2025
Inactive	Aetna Life Insurance Company	301140	Agent - Health	4/8/2021	3/31/2025
Inactive	All America Insurance Company	300078	Agent - Casualty	1/13/2023	3/31/2025
Inactive	All America Insurance Company	300078	Agent - Property	1/13/2023	3/31/2025
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
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/30/2021	3/31/2025
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
Inactive	Central Insurance Company	300965	Agent - Casualty	1/13/2023	3/31/2025
Inactive	Central Insurance Company	300965	Agent - Property	1/13/2023	3/31/2025
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
Inactive	Guaranty Income Life Insurance Company	552451	Agent - Health	3/17/2023	3/31/2025
Inactive	Guaranty Income Life Insurance Company	552451	Agent - Life	3/17/2023	3/31/2025
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
Inactive	SilverScript Insurance Company	663526	Agent - Health	3/22/2021	3/31/2025
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
Inactive	TNUS Insurance Company	593776	Agent - Casualty	8/11/2023	3/31/2025
Inactive	TNUS Insurance Company	593776	Agent - Property	8/11/2023	3/31/2025
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
Inactive	Tokio Marine America Insurance Company	786458	Agent - Casualty	8/11/2023	3/31/2025
Inactive	Tokio Marine America Insurance Company	786458	Agent - Property	8/11/2023	3/31/2025
Inactive	Trans Pacific Insurance Company	300076	Agent - Casualty	8/11/2023	3/31/2025
Inactive	Trans Pacific Insurance Company	300076	Agent - Property	8/11/2023	3/31/2025
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
Inactive	Westfield Insurance Company	301950	Agent - Casualty	8/20/2018	3/31/2025
Inactive	Westfield Insurance Company	301950	Agent - Property	8/20/2018	3/31/2025
Inactive	Westfield National Insurance Company	301036	Agent - Casualty	8/24/2020	3/31/2025
Inactive	Westfield National Insurance Company	301036	Agent - Property	8/24/2020	3/31/2025

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
Inactive	Kruse, Justin M	969022	Agent - Casualty	1/10/2023	3/31/2025
Inactive	Kruse, Justin M	969022	Agent - Health	6/15/2023	3/31/2025
Inactive	Kruse, Justin M	969022	Agent - Life	6/15/2023	3/31/2025
Inactive	Kruse, Justin M	969022	Agent - Property	1/10/2023	3/31/2025
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