DEPARTMENT OF INSURANCE
Affiliations
NamePartners Managing General Underwriters, LLCDOIID919234NAIC NPN17929410
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAdministratorNot Applicable7/15/202410/20/2025 
InactiveNon ResidentAgentHealth6/24/201610/20/2025 
InactiveNon ResidentAgentLife6/24/20165/18/2022 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllied World National Assurance Company611268Agent - Health12/1/201810/20/2025
InactiveUnited States Fire Insurance Company582240Agent - Health11/10/201710/20/2025
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBagley, Matthew 1188802Agent - Health3/27/202510/20/2025
InactiveMertel, Miriam 914761Administrator - Not Applicable11/15/201711/18/2022
InactiveMertel, Miriam 914761Agent - Health6/24/201611/18/2022
InactiveMertel, Miriam 914761Agent - Life6/24/20165/18/2022
ActiveMiller, Brian James 1205678Administrator - Not Applicable7/15/2024 
InactiveMiller, Brian James 1205678Agent - Health9/28/20223/27/2025

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