DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Partners Managing General Underwriters, LLC	DOIID	919234	NAIC NPN	17929410

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	7/15/2024		3/31/2026
Active	Non Resident	Agent	Health	6/24/2016		3/31/2026
Inactive	Non Resident	Agent	Life	6/24/2016	5/18/2022
* 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
Administrator	01/15/2026	03/31/2026
Agent	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Allied World National Assurance Company	611268	Agent - Health	12/1/2018
Active	United States Fire Insurance Company	582240	Agent - Health	11/10/2017

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Bagley, Matthew	1188802	Agent - Health	3/27/2025
Inactive	Mertel, Miriam	914761	Administrator - Not Applicable	11/15/2017	11/18/2022
Inactive	Mertel, Miriam	914761	Agent - Health	6/24/2016	11/18/2022
Inactive	Mertel, Miriam	914761	Agent - Life	6/24/2016	5/18/2022
Active	Miller, Brian James	1205678	Administrator - Not Applicable	7/15/2024
Inactive	Miller, Brian James	1205678	Agent - Health	9/28/2022	3/27/2025