DEPARTMENT OF INSURANCE

Affiliations

Name	MGM Insurance Services LLC	DOIID	859139	NAIC NPN	17415050

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	10/31/2014	3/31/2024
Inactive	Resident	Agent	Property	10/31/2014	3/31/2024
Inactive	Resident	Agent	Life	10/31/2014	3/31/2024
Inactive	Resident	Agent	Health	10/31/2014	3/31/2024
* 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	ACE American Insurance Company	300625	Agent - Casualty	12/18/2014	11/5/2019
Inactive	ACE American Insurance Company	300625	Agent - Property	12/18/2014	11/5/2019
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	12/18/2014	11/5/2019
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Property	12/18/2014	11/5/2019
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	12/18/2014	11/5/2019
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	12/18/2014	11/5/2019
Inactive	Allstate Indemnity Company	300778	Agent - Casualty	11/28/2014	9/14/2023
Inactive	Allstate Indemnity Company	300778	Agent - Property	11/28/2014	9/14/2023
Inactive	Allstate Insurance Company	300773	Agent - Casualty	11/28/2014	9/14/2023
Inactive	Allstate Insurance Company	300773	Agent - Property	11/28/2014	9/14/2023
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	11/28/2014	9/14/2023
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	11/28/2014	9/14/2023
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	11/28/2014	9/14/2023
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	11/28/2014	9/14/2023
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	11/6/2014	9/20/2023
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	11/6/2014	9/20/2023
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	12/4/2014	8/28/2023
Inactive	American Modern Home Insurance Company	300791	Agent - Property	12/4/2014	8/28/2023
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	6/6/2019	8/28/2023
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Property	6/6/2019	8/28/2023
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	12/4/2014	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	12/4/2014	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	12/4/2014	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	12/4/2014	11/14/2021
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	4/27/2016	3/31/2019
Inactive	Baptist Health Plan, Inc.	300157	Agent - Life	4/27/2016	3/31/2019
Inactive	ClearPath Insurance Company	979815	Agent - Casualty	1/1/2018	3/31/2024
Inactive	CompBenefits Insurance Company	301864	Agent - Health	6/9/2020	12/15/2020
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/9/2020	12/15/2020
Inactive	Everlake Assurance Company	300203	Agent - Life	12/17/2014	9/14/2023
Inactive	Everlake Life Insurance Company	300873	Agent - Health	11/28/2014	9/14/2023
Inactive	Everlake Life Insurance Company	300873	Agent - Life	11/28/2014	9/14/2023
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	6/9/2020	12/15/2020
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	6/9/2020	12/15/2020
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/19/2018	12/15/2020
Inactive	Humana Insurance Company	301104	Agent - Health	6/20/2019	4/6/2021
Inactive	Humana Insurance Company	301104	Agent - Life	6/20/2019	4/6/2021
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/9/2020	12/15/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	6/9/2020	12/15/2020
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	6/9/2020	12/15/2020
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	6/9/2020	12/15/2020
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	12/18/2014	11/5/2019
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	12/18/2014	11/5/2019
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	11/28/2014	9/14/2023
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	11/28/2014	9/14/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Sykes, Lexis	851024	Agent - Casualty	10/31/2014	3/31/2024
Inactive	Sykes, Lexis	851024	Agent - Health	10/31/2014	3/31/2024
Inactive	Sykes, Lexis	851024	Agent - Life	10/31/2014	3/31/2024
Inactive	Sykes, Lexis	851024	Agent - Property	10/31/2014	3/31/2024