DEPARTMENT OF INSURANCE

Affiliations

Name	Midwestern Ins Alliance L L C	DOIID	777603	NAIC NPN	16582858

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Administrator	Not Applicable	8/10/2016	3/31/2026
Active	Resident	Agent	Casualty	3/20/2012	3/31/2026
Active	Resident	Agent	Property	3/20/2012	3/31/2026
Active	Resident	Independent Adjuster	Workers' Compensation	5/16/2012	3/31/2026
Active	Resident	Managing General Agent	Not Applicable	5/25/2012	3/31/2026
Active	Resident	Surplus Lines Broker	Not Applicable	2/16/2016	3/31/2026
* 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
Inactive	Aegis Security Insurance Company	300492	Agent - Casualty	1/1/2014	11/2/2022
Inactive	Aegis Security Insurance Company	300492	Agent - Property	1/1/2014	11/2/2022
Inactive	Clear Spring Property and Casualty Company	301377	Agent - Casualty	7/17/2020	10/17/2022
Inactive	Clear Spring Property and Casualty Company	301377	Agent - Property	7/17/2020	10/17/2022
Inactive	Falls Lake National Insurance Company	301796	Agent - Casualty	7/17/2013	4/16/2018
Inactive	Falls Lake National Insurance Company	301796	Agent - Property	7/17/2013	4/16/2018
Active	Great American Alliance Insurance Company	301247	Agent - Casualty	4/9/2025
Active	Great American Alliance Insurance Company	301247	Agent - Property	4/9/2025
Active	Great American Insurance Company	301586	Agent - Casualty	11/26/2013
Active	Great American Insurance Company	301586	Agent - Property	11/26/2013
Active	Insurance Company of the West	301520	Agent - Casualty	1/23/2019
Active	Insurance Company of the West	301520	Agent - Property	1/23/2019
Active	National Liability & Fire Insurance Company	300213	Agent - Casualty	2/22/2016
Active	National Liability & Fire Insurance Company	300213	Agent - Property	2/22/2016
Active	North Pointe Insurance Company	301029	Agent - Casualty	11/11/2021
Active	North Pointe Insurance Company	301029	Agent - Property	11/11/2021
Active	Praetorian Insurance Company	301021	Agent - Casualty	11/20/2012
Active	Praetorian Insurance Company	301021	Agent - Property	11/20/2012
Active	QBE Insurance Corporation	300515	Agent - Casualty	11/20/2012
Active	QBE Insurance Corporation	300515	Agent - Property	11/20/2012

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Baughman, Robert G	514120	Agent - Casualty	5/3/2013	12/16/2021
Denied	Baughman, Robert G	514120	Agent - Property
Active	Beswick, Samantha L	1026291	Independent Adjuster - Workers' Compensation	7/19/2023
Active	Dyches, Paula M	833318	Independent Adjuster - Workers' Compensation	7/19/2023
Active	Elko, Tara Eileen	859555	Independent Adjuster - Workers' Compensation	7/19/2023
Active	Graves, Jamean	549133	Independent Adjuster - Workers' Compensation	7/19/2023
Inactive	Hulker, Brenda G	359050	Independent Adjuster - Workers' Compensation	7/19/2023	9/16/2024
Active	Lennie, John Michael	310820	Independent Adjuster - Property & Casualty	7/19/2023
Inactive	Mcfarland, Michelle	1027036	Independent Adjuster - Workers' Compensation	7/19/2023	5/22/2024
Inactive	New, Catherine Ann	351087	Independent Adjuster - Workers' Compensation	5/16/2012	9/16/2024
Active	Risen, Marc H	348078	Administrator - Not Applicable	8/10/2016
Active	Risen, Marc H	348078	Agent - Casualty	3/20/2012
Active	Risen, Marc H	348078	Agent - Property	3/20/2012
Active	Risen, Marc H	348078	Managing General Agent - Not Applicable	5/25/2012
Active	Risen, Marc H	348078	Surplus Lines Broker - Not Applicable	2/16/2016
Active	Sampson, John R	391896	Independent Adjuster - Property & Casualty	7/19/2023
Active	Williams, Erin Elizabeth	685619	Independent Adjuster - Workers' Compensation	7/19/2023