DEPARTMENT OF INSURANCE
Affiliations
NameC.M.G. Agency, Inc.DOIID554100NAIC NPN655004
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentProperty8/12/2002 3/31/2026
ActiveNon ResidentAgentLife8/26/2002 3/31/2026
ActiveNon ResidentAgentHealth8/26/2002 3/31/2026
ActiveNon ResidentAgentCasualty8/12/2002 3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202603/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health6/29/2005 
InactiveAnthem Insurance Companies, Inc.300941Agent - Health6/29/200510/16/2012
InactiveAnthem Life Insurance Company301209Agent - Health6/29/20054/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life6/29/20054/15/2025
ActiveChurch Mutual Insurance Company, S.I.301554Agent - Casualty11/2/2017 
ActiveChurch Mutual Insurance Company, S.I.301554Agent - Property11/2/2017 
InactiveClearPath Insurance Company979815Agent - Casualty1/1/20182/7/2019
ActiveColonial American Casualty & Surety Company300769Agent - Casualty2/3/2011 
ActiveColonial American Casualty & Surety Company300769Agent - Property2/3/2011 
ActiveFidelity and Deposit Company of Maryland300976Agent - Casualty2/3/2011 
ActiveFidelity and Deposit Company of Maryland300976Agent - Property2/3/2011 
ActiveHartford Fire Insurance Company300628Agent - Health6/2/2020 
ActiveHartford Life and Accident Insurance Company300878Agent - Health2/19/2009 
ActiveHartford Life and Accident Insurance Company300878Agent - Life2/19/2009 
ActiveLife Insurance Company of North America300711Agent - Health8/26/2002 
ActiveLife Insurance Company of North America300711Agent - Life8/26/2002 
ActiveMutual of Omaha Insurance Company301012Agent - Health5/29/2024 
InactivePreferred Professional Insurance Company300209Agent - Casualty11/13/200612/21/2016
InactivePreferred Professional Insurance Company300209Agent - Property11/13/200612/21/2016
ActiveProvident Life and Accident Insurance Company301525Agent - Health7/20/2016 
ActiveProvident Life and Accident Insurance Company301525Agent - Life7/20/2016 
ActiveUNUM Life Insurance Company of America300817Agent - Health7/20/2016 
ActiveUNUM Life Insurance Company of America300817Agent - Life7/20/2016 
ActiveUnited of Omaha Life Insurance Company300156Agent - Health5/29/2024 
ActiveUnited of Omaha Life Insurance Company300156Agent - Life5/29/2024 
InactiveVirginia Surety Company, Inc.301022Agent - Casualty8/12/20024/22/2009
InactiveVirginia Surety Company, Inc.301022Agent - Property8/12/20024/22/2009
ActiveWestern Surety Company300283Agent - Casualty4/2/2004 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBeveridge, Joseph Thomas 368787Agent - Casualty2/27/20031/9/2009
InactiveBeveridge, Joseph Thomas 368787Agent - Property8/12/20021/9/2009
InactiveFerguson, Lucille Rolande 548480Agent - Health8/26/20027/31/2004
ActiveHartz, Mathew Todd 728558Agent - Health2/14/2012 
ActiveHartz, Mathew Todd 728558Agent - Life3/5/2012 
InactiveMcFayden, Robert Alan 550197Agent - Casualty8/12/20028/15/2016
ActiveMcFayden, Robert Alan 550197Agent - Health8/26/2002 
ActiveMcFayden, Robert Alan 550197Agent - Life8/26/2002 
InactiveMcFayden, Robert Alan 550197Agent - Property2/27/20038/15/2016
ActiveMusil, Dana Sue 746942Agent - Casualty1/31/2012 
ActiveMusil, Dana Sue 746942Agent - Property1/31/2012 
ActivePeterson, Paul A 567067Agent - Health1/20/2004 
InactiveSauser, Thomas Anthony 546494Agent - Health8/26/20025/31/2007
DeniedSauser, Thomas Anthony 546494Agent - Life  
InactiveStandish, Gregory Layne 546953Agent - Health8/26/20028/31/2005
DeniedStandish, Gregory Layne 546953Agent - Life  
ActiveWeideman, Gregory Alan 547001Agent - Health1/29/2010 
ActiveWeideman, Gregory Alan 547001Agent - Life1/29/2010 
InactiveYost, William Joe 608771Agent - Health7/5/200510/31/2011
InactiveYost, William Joe 608771Agent - Life7/5/200510/31/2011

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