DEPARTMENT OF INSURANCE

Affiliations

Name	Basberg, Mililani D	DOIID	323771	NAIC NPN	7169584

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	5/19/2009		1/31/2027
Active	Resident	Agent	Health	5/19/2009		1/31/2027
Active	Resident	Agent	Property	5/19/2009		1/31/2027
Active	Resident	Agent	Life	5/19/2009		1/31/2027
Inactive	Resident	Agent	General Lines	6/25/1985	8/15/2000
* 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
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	2/4/2019
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	2/4/2019
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	7/4/2016	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	7/4/2016	11/14/2021
Active	American National General Insurance Company	301944	Agent - Casualty	5/27/2009
Inactive	American National General Insurance Company	301944	Agent - General Lines	6/25/1985	8/15/2000
Active	American National General Insurance Company	301944	Agent - Property	5/27/2009
Active	American National Insurance Company	301861	Agent - Health	12/23/2009
Active	American National Insurance Company	301861	Agent - Life	12/23/2009
Inactive	American National Life Insurance Company of Texas	300912	Agent - Health	10/19/1988	1/23/2003
Active	American National Life Insurance Company of Texas	300912	Agent - Life	3/12/2021
Active	American National Property and Casualty Company	300392	Agent - Casualty	5/27/2009
Inactive	American National Property and Casualty Company	300392	Agent - General Lines	6/25/1985	8/15/2000
Active	American National Property and Casualty Company	300392	Agent - Property	5/27/2009
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	12/30/2016	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	12/30/2016	11/14/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/24/1996	6/7/2000
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/24/1996	6/7/2000
Active	Banner Life Insurance Company	301696	Agent - Life	11/16/2023
Active	Bristol West Insurance Company	301655	Agent - Casualty	12/15/2021
Active	Bristol West Insurance Company	301655	Agent - Property	12/15/2021
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/28/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - General Lines	3/13/1997	8/15/2000
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/28/2015
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	9/28/2015	5/10/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	9/28/2015	5/10/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	9/28/2015	5/10/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - General Lines	3/13/1997	8/15/2000
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	9/28/2015	5/10/2018
Inactive	Genworth Life Insurance Company	300623	Agent - Health	3/2/2012	1/5/2015
Inactive	Genworth Life Insurance Company	300623	Agent - Life	3/2/2012	1/5/2015
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	5/5/1999	4/13/2001
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	5/5/1999	4/13/2001
Inactive	John Alden Life Insurance Company	300573	Agent - Health	9/30/2012	7/16/2013
Inactive	John Alden Life Insurance Company	300573	Agent - Life	9/30/2012	7/16/2013
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	4/29/2003	6/7/2008
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	4/29/2003	6/7/2008
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	1/26/2010	4/11/2012
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	1/26/2010	4/11/2012
Active	Mutual of Omaha Insurance Company	301012	Agent - Health	2/4/2025
Active	Palomar Specialty Insurance Company	841441	Agent - Casualty	9/18/2024
Active	Palomar Specialty Insurance Company	841441	Agent - Property	9/18/2024
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	9/16/2016
Active	Progressive Casualty Insurance Company	300696	Agent - Property	9/16/2016
Active	Protective Life Insurance Company	300638	Agent - Health	4/1/2024
Active	Protective Life Insurance Company	300638	Agent - Life	4/1/2024
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	2/27/1997	9/5/2000
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	2/27/1997	9/5/2000
Active	Pruco Life Insurance Company	300954	Agent - Life	2/22/2024
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	5/5/2003	1/31/2009
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	5/5/2003	1/31/2009
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	5/24/2025
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	5/24/2025
Inactive	Time Insurance Company	300683	Agent - Health	5/25/2011	9/25/2016
Inactive	Time Insurance Company	300683	Agent - Life	5/25/2011	9/25/2016
Active	United Financial Casualty Company	301886	Agent - Casualty	9/16/2016
Active	United Financial Casualty Company	301886	Agent - Property	9/16/2016
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	9/23/1997	4/5/1999
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	9/23/1997	4/5/1999
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	1/10/1996	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	1/10/1996	3/31/1997
Active	West American Insurance Company	301112	Agent - Casualty	3/10/2025
Active	West American Insurance Company	301112	Agent - Property	3/10/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia of Louisville Inc.	401252	Agent - Life	8/15/1996	2/28/2003
Inactive	Acordia of Louisville Inc.	401252	Agent - Health	8/15/1996	2/28/2003
Active	Lani Basberg Agency LLC	1352495	Agent - Life	7/26/2024
Active	Lani Basberg Agency LLC	1352495	Agent - Health	7/26/2024
Active	Lani Basberg Agency LLC	1352495	Agent - Property	7/26/2024
Active	Lani Basberg Agency LLC	1352495	Agent - Casualty	7/26/2024
Inactive	Medlink Inc	400721	Agent - Life	11/23/1998	1/31/2009
Inactive	Medlink Inc	400721	Agent - Health	11/23/1998	1/31/2009