DEPARTMENT OF INSURANCE

Name	USI Midwest LLC	DOIID	517736	NAIC NPN	957460

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Administrator	Not Applicable	5/1/2006	5/5/2015
Inactive	Non Resident	Agent	Health	12/13/2000	8/18/2016
Inactive	Non Resident	Agent	Life	12/13/2000	8/18/2016
Inactive	Non Resident	Agent	Property	11/13/2000	8/18/2016
Inactive	Non Resident	Agent	Casualty	11/13/2000	8/18/2016
Inactive	Non Resident	Life & Health Consultant	Not Applicable	1/11/2008	5/5/2015
Inactive	Non Resident	Property & Casualty Consultant	Not Applicable	2/29/2008	8/18/2016
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	5/12/2010	8/18/2016

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.

Address Information

Type	Address
Business / Home Office	312 Elm Street 24th FloorCincinnati, OH 45202

Internet Information

Type	Address
Internet	www.usi-insurance.com

Phone Information

Type	Phone
Business / Home Office	(513) 852-6300
Fax	(513) 852-6428