DEPARTMENT OF INSURANCE
Affiliations
NameMidwestern Ins Alliance L L CDOIID777603NAIC NPN16582858
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAdministratorNot Applicable8/10/2016 3/31/2026
ActiveResidentAgentProperty3/20/2012 3/31/2026
ActiveResidentAgentCasualty3/20/2012 3/31/2026
ActiveResidentIndependent AdjusterWorkers' Compensation5/16/2012 3/31/2026
ActiveResidentManaging General AgentNot Applicable5/25/2012 3/31/2026
ActiveResidentSurplus Lines BrokerNot Applicable2/16/2016 3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Administrator01/15/202603/31/2026   
Agent01/15/202603/31/2026   
Independent Adjuster01/15/202603/31/2026   
Managing General Agent01/15/202603/31/2026   
Surplus Lines Broker01/15/202603/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAegis Security Insurance Company300492Agent - Casualty1/1/201411/2/2022
InactiveAegis Security Insurance Company300492Agent - Property1/1/201411/2/2022
InactiveClear Spring Property and Casualty Company301377Agent - Casualty7/17/202010/17/2022
InactiveClear Spring Property and Casualty Company301377Agent - Property7/17/202010/17/2022
InactiveFalls Lake National Insurance Company301796Agent - Casualty7/17/20134/16/2018
InactiveFalls Lake National Insurance Company301796Agent - Property7/17/20134/16/2018
ActiveGreat American Alliance Insurance Company301247Agent - Casualty4/9/2025 
ActiveGreat American Alliance Insurance Company301247Agent - Property4/9/2025 
ActiveGreat American Insurance Company301586Agent - Casualty11/26/2013 
ActiveGreat American Insurance Company301586Agent - Property11/26/2013 
ActiveInsurance Company of the West301520Agent - Casualty1/23/2019 
ActiveInsurance Company of the West301520Agent - Property1/23/2019 
ActiveNational Liability & Fire Insurance Company300213Agent - Casualty2/22/2016 
ActiveNational Liability & Fire Insurance Company300213Agent - Property2/22/2016 
ActiveNorth Pointe Insurance Company301029Agent - Casualty11/11/2021 
ActiveNorth Pointe Insurance Company301029Agent - Property11/11/2021 
ActivePraetorian Insurance Company301021Agent - Casualty11/20/2012 
ActivePraetorian Insurance Company301021Agent - Property11/20/2012 
ActiveQBE Insurance Corporation300515Agent - Casualty11/20/2012 
ActiveQBE Insurance Corporation300515Agent - Property11/20/2012 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBaughman, Robert G 514120Agent - Casualty5/3/201312/16/2021
DeniedBaughman, Robert G 514120Agent - Property  
ActiveBeswick, Samantha L 1026291Independent Adjuster - Workers' Compensation7/19/2023 
ActiveDyches, Paula M 833318Independent Adjuster - Workers' Compensation7/19/2023 
ActiveElko, Tara Eileen 859555Independent Adjuster - Workers' Compensation7/19/2023 
ActiveGraves, Jamean 549133Independent Adjuster - Workers' Compensation7/19/2023 
InactiveHulker, Brenda G 359050Independent Adjuster - Workers' Compensation7/19/20239/16/2024
ActiveLennie, John Michael 310820Independent Adjuster - Property & Casualty7/19/2023 
InactiveMcfarland, Michelle 1027036Independent Adjuster - Workers' Compensation7/19/20235/22/2024
InactiveNew, Catherine Ann 351087Independent Adjuster - Workers' Compensation5/16/20129/16/2024
ActiveRisen, Marc H 348078Administrator - Not Applicable8/10/2016 
ActiveRisen, Marc H 348078Agent - Casualty3/20/2012 
ActiveRisen, Marc H 348078Agent - Property3/20/2012 
ActiveRisen, Marc H 348078Managing General Agent - Not Applicable5/25/2012 
ActiveRisen, Marc H 348078Surplus Lines Broker - Not Applicable2/16/2016 
ActiveSampson, John R 391896Independent Adjuster - Property & Casualty7/19/2023 
ActiveWilliams, Erin Elizabeth 685619Independent Adjuster - Workers' Compensation7/19/2023 

© Commonwealth of Kentucky. All rights reserved.