DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Middleman, Stephen E	DOIID	776362	NAIC NPN	13993913

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	3/5/2012		11/30/2026
Active	Non Resident	Agent	Health	3/5/2012		11/30/2026
* 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
Active	Continental American Insurance Company	301700	Agent - Health	9/7/2012
Active	Continental American Insurance Company	301700	Agent - Life	9/7/2012
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	12/22/2022
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	12/22/2022
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	8/27/2012	12/18/2020
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	8/27/2012	12/18/2020
Active	Starmount Life Insurance Company	628031	Agent - Health	12/22/2022
Inactive	Trustmark Insurance Company	300317	Agent - Health	8/4/2014	6/30/2018
Inactive	Trustmark Insurance Company	300317	Agent - Life	8/4/2014	6/30/2018
Active	UNUM Life Insurance Company of America	300817	Agent - Health	12/22/2022
Active	UNUM Life Insurance Company of America	300817	Agent - Life	12/22/2022
Active	Unum Insurance Company	301499	Agent - Health	12/22/2022
Active	Unum Insurance Company	301499	Agent - Life	12/22/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Custom Benefit Programs Inc	630774	Agent - Life	3/11/2020
Active	Custom Benefit Programs Inc	630774	Agent - Health	3/11/2020