DEPARTMENT OF INSURANCE

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	Health	3/5/2012		11/30/2024
Active	Non Resident	Agent	Life	3/5/2012		11/30/2024
* 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	09/15/2024	11/30/2024

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