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	License Expiration Date
Active	Non Resident	Agent	Life	3/17/2021	3/31/2025
Active	Non Resident	Agent	Health	3/17/2021	3/31/2025
Active	Non Resident	Agent	Property	12/18/2011	3/31/2025
Active	Non Resident	Agent	Casualty	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
Active	Aetna Health Inc. (PA)	660717	Agent - Health	4/8/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	3/22/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	4/8/2021
Active	All America Insurance Company	300078	Agent - Casualty	1/13/2023
Active	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
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/30/2021
Active	Anthem Life Insurance Company	301209	Agent - Health	3/30/2021
Active	Anthem Life Insurance Company	301209	Agent - Life	3/30/2021
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
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	3/21/2023
Active	Central Mutual Insurance Company	300965	Agent - Casualty	1/13/2023
Active	Central Mutual 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
Active	Guaranty Income Life Insurance Company	552451	Agent - Health	3/17/2023
Active	Guaranty Income Life Insurance Company	552451	Agent - Life	3/17/2023
Active	Life Insurance Company of North America	300711	Agent - Health	4/23/2021
Active	Life Insurance Company of North America	300711	Agent - Life	4/23/2021
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
Active	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
Active	TNUS Insurance Company	593776	Agent - Casualty	8/11/2023
Active	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
Active	Tokio Marine America Insurance Company	786458	Agent - Casualty	8/11/2023
Active	Tokio Marine America Insurance Company	786458	Agent - Property	8/11/2023
Active	Trans Pacific Insurance Company	300076	Agent - Casualty	8/11/2023
Active	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
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	3/17/2021
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	3/17/2021
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/30/2022
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	3/17/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/21/2023
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	1/13/2023
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	1/13/2023
Active	Westfield Insurance Company	301950	Agent - Casualty	8/20/2018
Active	Westfield Insurance Company	301950	Agent - Property	8/20/2018
Active	Westfield National Insurance Company	301036	Agent - Casualty	8/24/2020
Active	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