DEPARTMENT OF INSURANCE
Affiliations
NameMeadowbrook IncDOIID584308NAIC NPN958566
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentCasualty2/27/2004 3/31/2026
ActiveNon ResidentAgentProperty2/27/2004 3/31/2026
DeniedNon ResidentAgentPersonal Lines   
InactiveNon ResidentAgentHealth2/27/200410/5/2023 
InactiveNon ResidentAgentLife2/27/200410/5/2023 
ActiveNon ResidentSurplus Lines BrokerNot Applicable5/31/2008 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   
Surplus Lines Broker01/15/202603/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
Inactive21st Century Centennial Insurance Company301840Agent - Casualty3/20/20069/24/2011
Inactive21st Century Centennial Insurance Company301840Agent - Property3/20/20069/24/2011
Inactive21st Century North America Insurance Company300884Agent - Casualty3/20/20069/24/2011
Inactive21st Century North America Insurance Company300884Agent - Property3/20/20069/24/2011
InactiveACE American Insurance Company300625Agent - Casualty6/28/20059/16/2024
InactiveACE American Insurance Company300625Agent - Property6/28/20059/16/2024
InactiveACE Fire Underwriters Insurance Company301679Agent - Casualty11/11/20059/16/2024
InactiveACE Fire Underwriters Insurance Company301679Agent - Property11/11/20059/16/2024
InactiveACE Property and Casualty Insurance Company300520Agent - Casualty11/11/20059/16/2024
InactiveACE Property and Casualty Insurance Company300520Agent - Property11/11/20059/16/2024
InactiveAMCO Insurance Company300204Agent - Casualty9/9/20217/31/2024
InactiveAMCO Insurance Company300204Agent - Property9/9/20217/31/2024
InactiveAccident Fund General Insurance Company626282Agent - Casualty6/30/202011/28/2023
InactiveAccident Fund General Insurance Company626282Agent - Property6/30/20207/26/2020
InactiveAccident Fund Insurance Company of America518734Agent - Casualty6/30/202011/28/2023
InactiveAccident Fund Insurance Company of America518734Agent - Property6/30/20207/26/2020
InactiveAccident Fund National Insurance Company626286Agent - Casualty6/30/202011/28/2023
InactiveAccident Fund National Insurance Company626286Agent - Property6/30/20207/26/2020
InactiveAetna Health Inc. (PA)660717Agent - Health9/14/201010/5/2023
InactiveAetna Life Insurance Company301140Agent - Health9/14/201010/5/2023
InactiveAetna Life Insurance Company301140Agent - Life9/14/201010/5/2023
InactiveAllied Insurance Company of America793586Agent - Casualty9/9/20217/31/2024
InactiveAllied Insurance Company of America793586Agent - Property9/9/20217/31/2024
InactiveAllied Property and Casualty Insurance Company300279Agent - Casualty9/9/20217/31/2024
InactiveAllied Property and Casualty Insurance Company300279Agent - Property9/9/20217/31/2024
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - Casualty8/27/201311/14/2016
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - Property8/27/201311/14/2016
ActiveAmerican Family Home Insurance Company301817Agent - Casualty12/6/2020 
ActiveAmerican Family Home Insurance Company301817Agent - Property12/6/2020 
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health7/1/201510/5/2023
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life7/1/201510/5/2023
InactiveAmerican Fire and Casualty Company300567Agent - Casualty5/27/20153/29/2024
InactiveAmerican Fire and Casualty Company300567Agent - Property5/27/20153/29/2024
ActiveAmerican Home Assurance Company300246Agent - Casualty3/20/2006 
ActiveAmerican Home Assurance Company300246Agent - Property3/20/2006 
InactiveAmerican Zurich Insurance Company300592Agent - Casualty11/8/200712/9/2013
InactiveAmerican Zurich Insurance Company300592Agent - Property11/8/200712/9/2013
InactiveAnsur America Insurance Company520667Agent - Casualty8/18/20201/19/2024
InactiveAnsur America Insurance Company520667Agent - Property8/18/20201/19/2024
InactiveArch Indemnity Insurance Company301459Agent - Casualty10/20/202112/6/2023
InactiveArch Indemnity Insurance Company301459Agent - Property10/20/202112/6/2023
InactiveArch Insurance Company300688Agent - Casualty4/1/201012/6/2023
InactiveArch Insurance Company300688Agent - Property4/1/201012/6/2023
InactiveAssurance Company of America300432Agent - Casualty11/8/200712/9/2013
InactiveAssurance Company of America300432Agent - Property11/8/200712/9/2013
InactiveAuto-Owners Insurance Company301480Agent - Casualty2/26/20148/8/2024
InactiveAuto-Owners Insurance Company301480Agent - Property2/26/20148/8/2024
InactiveAuto-Owners Life Insurance Company301368Agent - Health10/6/202010/5/2023
InactiveAuto-Owners Life Insurance Company301368Agent - Life10/6/202010/5/2023
InactiveBankers Standard Insurance Company301620Agent - Casualty7/12/20069/16/2024
InactiveBankers Standard Insurance Company301620Agent - Property7/12/20069/16/2024
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty9/10/200411/30/2017
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Property9/10/200411/30/2017
InactiveCompBenefits Dental, Inc.591692Agent - Health9/22/201010/16/2012
InactiveCompBenefits Insurance Company301864Agent - Health9/22/20106/26/2013
InactiveCompBenefits Insurance Company301864Agent - Life9/22/20106/26/2013
InactiveConsolidated Insurance Company300943Agent - Casualty5/27/201510/13/2022
InactiveConsolidated Insurance Company300943Agent - Property5/27/201510/13/2022
InactiveContinental Casualty Company301019Agent - Casualty8/27/201312/26/2023
InactiveContinental Casualty Company301019Agent - Property8/27/201312/26/2023
InactiveContinental Insurance Company (The)301242Agent - Casualty4/1/201912/26/2023
InactiveContinental Insurance Company (The)301242Agent - Property4/1/201912/26/2023
InactiveDental Concern Inc. (The)301641Agent - Health9/22/201010/16/2012
InactiveDepositors Insurance Company301634Agent - Casualty9/9/20217/31/2024
InactiveDepositors Insurance Company301634Agent - Property9/9/20217/31/2024
InactiveEmployers Assurance Company300120Agent - Casualty9/10/20155/2/2019
InactiveEmployers Compensation Insurance Company797885Agent - Casualty8/6/20185/2/2019
ActiveEmployers Insurance Company of Wausau301813Agent - Casualty7/16/2018 
ActiveEmployers Insurance Company of Wausau301813Agent - Property7/16/2018 
InactiveEmployers Preferred Insurance Company520656Agent - Casualty9/10/20155/2/2019
InactiveEverest National Insurance Company301319Agent - Casualty10/1/20141/1/2021
InactiveEverest National Insurance Company301319Agent - Property10/1/20141/1/2021
InactiveFarmington Casualty Company301137Agent - Casualty5/9/200612/5/2013
InactiveFarmington Casualty Company301137Agent - Property5/9/200612/5/2013
InactiveFederal Insurance Company301144Agent - Casualty8/24/20179/16/2024
InactiveFederal Insurance Company301144Agent - Property8/24/20179/16/2024
InactiveFidelity and Deposit Company of Maryland300976Agent - Casualty12/27/20138/22/2024
InactiveFidelity and Deposit Company of Maryland300976Agent - Property12/27/20138/22/2024
ActiveFirst Liberty Insurance Corporation (The)301060Agent - Casualty7/16/2018 
ActiveFirst Liberty Insurance Corporation (The)301060Agent - Property7/16/2018 
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty11/20/20128/29/2018
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property11/20/20128/29/2018
InactiveForemost Property and Casualty Insurance Company300871Agent - Casualty11/20/20128/29/2018
InactiveForemost Property and Casualty Insurance Company300871Agent - Property11/20/20128/29/2018
InactiveForemost Signature Insurance Company300140Agent - Casualty11/20/20128/29/2018
InactiveForemost Signature Insurance Company300140Agent - Property11/20/20128/29/2018
InactiveFrankenmuth Insurance Company301481Agent - Casualty9/29/20201/19/2024
InactiveFrankenmuth Insurance Company301481Agent - Property8/18/20201/19/2024
InactiveGerber Life Insurance Company300529Agent - Health7/28/201012/17/2012
InactiveGerber Life Insurance Company300529Agent - Life7/28/201012/17/2012
InactiveGolden Rule Insurance Company301943Agent - Health4/15/201010/5/2023
InactiveGolden Rule Insurance Company301943Agent - Life4/15/201010/5/2023
InactiveGreat American Insurance Company301586Agent - Health3/16/202310/5/2023
InactiveHartford Accident and Indemnity Company301917Agent - Casualty12/6/200611/7/2008
InactiveHartford Accident and Indemnity Company301917Agent - Property12/6/200611/7/2008
InactiveHartford Casualty Insurance Company301332Agent - Casualty12/6/200612/22/2023
InactiveHartford Casualty Insurance Company301332Agent - Property12/6/200612/22/2023
InactiveHartford Fire Insurance Company300628Agent - Casualty12/6/200612/22/2023
InactiveHartford Fire Insurance Company300628Agent - Property12/6/200612/22/2023
InactiveHartford Insurance Company of the Midwest301918Agent - Casualty12/6/200611/7/2008
InactiveHartford Insurance Company of the Midwest301918Agent - Property12/6/200611/7/2008
InactiveHartford Underwriters Insurance Company301064Agent - Casualty12/6/200612/22/2023
InactiveHartford Underwriters Insurance Company301064Agent - Property12/6/200612/22/2023
InactiveHumana Health Plan, Inc.300142Agent - Health9/22/201010/16/2012
InactiveHumana Insurance Company301104Agent - Health9/22/201010/16/2012
InactiveHumana Insurance Company301104Agent - Life9/22/201010/16/2012
InactiveHumana Insurance Company of Kentucky300826Agent - Health9/22/201010/16/2012
InactiveHumana Insurance Company of Kentucky300826Agent - Life9/22/201010/16/2012
InactiveHumanaDental Insurance Company301457Agent - Health9/22/20102/23/2012
InactiveHumanaDental Insurance Company301457Agent - Life9/22/20102/23/2012
InactiveIndemnity Insurance Company of North America301760Agent - Casualty11/11/20059/16/2024
InactiveIndemnity Insurance Company of North America301760Agent - Property11/11/20059/16/2024
InactiveIndiana Insurance Company301909Agent - Casualty5/27/20152/3/2023
InactiveIndiana Insurance Company301909Agent - Property5/27/20152/3/2023
InactiveInsurance Company of North America300226Agent - Casualty6/28/20059/16/2024
InactiveInsurance Company of North America300226Agent - Property6/28/20059/16/2024
InactiveKanawha Insurance Company300127Agent - Health9/22/201010/16/2012
InactiveKanawha Insurance Company300127Agent - Life9/22/201010/16/2012
ActiveLM Insurance Corporation301061Agent - Casualty7/16/2018 
ActiveLM Insurance Corporation301061Agent - Property7/16/2018 
ActiveLiberty Insurance Corporation300444Agent - Casualty7/16/2018 
ActiveLiberty Insurance Corporation300444Agent - Property7/16/2018 
ActiveLiberty Mutual Fire Insurance Company301913Agent - Casualty7/16/2018 
ActiveLiberty Mutual Fire Insurance Company301913Agent - Property7/16/2018 
ActiveLiberty Mutual Insurance Company301159Agent - Casualty3/16/2015 
ActiveLiberty Mutual Insurance Company301159Agent - Property3/16/2015 
InactiveLifeSecure Insurance Company301629Agent - Health6/4/20102/5/2015
InactiveLifeSecure Insurance Company301629Agent - Life6/4/201011/27/2012
InactiveMaryland Casualty Company301719Agent - Casualty11/8/200712/9/2013
InactiveMaryland Casualty Company301719Agent - Property11/8/200712/9/2013
InactiveMassachusetts Bay Insurance Company300898Agent - Casualty1/4/20248/23/2024
InactiveMassachusetts Bay Insurance Company300898Agent - Property1/4/20248/23/2024
InactiveMeridian Security Insurance Company300423Agent - Casualty5/23/201310/17/2024
InactiveMeridian Security Insurance Company300423Agent - Property5/23/201310/17/2024
InactiveMilbank Insurance Company925185Agent - Casualty11/8/201710/17/2024
InactiveMilbank Insurance Company925185Agent - Property11/8/201710/17/2024
InactiveMutual of Omaha Insurance Company301012Agent - Health7/29/20101/23/2014
InactiveNational Fire Insurance Company of Hartford301063Agent - Casualty8/27/201311/14/2016
InactiveNational Fire Insurance Company of Hartford301063Agent - Property8/27/201311/14/2016
InactiveNational Specialty Insurance Company300993Agent - Casualty3/1/20148/2/2023
InactiveNational Specialty Insurance Company300993Agent - Property3/1/20148/2/2023
InactiveNationwide Agribusiness Insurance Company301008Agent - Casualty9/9/20217/31/2024
InactiveNationwide Agribusiness Insurance Company301008Agent - Property9/9/20217/31/2024
InactiveNationwide Assurance Company300166Agent - Casualty9/9/20217/31/2024
InactiveNationwide Assurance Company300166Agent - Property9/9/20217/31/2024
InactiveNationwide General Insurance Company300603Agent - Casualty9/9/20217/31/2024
InactiveNationwide General Insurance Company300603Agent - Property9/9/20217/31/2024
InactiveNationwide Insurance Company of America300333Agent - Casualty9/9/20217/31/2024
InactiveNationwide Insurance Company of America300333Agent - Property9/9/20217/31/2024
InactiveNationwide Mutual Insurance Company301749Agent - Casualty9/9/20217/31/2024
InactiveNationwide Mutual Insurance Company301749Agent - Property9/9/20217/31/2024
InactiveNationwide Property and Casualty Insurance Company300599Agent - Casualty9/9/20217/31/2024
InactiveNationwide Property and Casualty Insurance Company300599Agent - Property9/9/20217/31/2024
InactiveNetherlands Insurance Company (The)300339Agent - Casualty5/27/20155/10/2024
InactiveNetherlands Insurance Company (The)300339Agent - Property5/27/20155/10/2024
InactiveNorth River Insurance Company (The)301739Agent - Property6/18/20182/18/2025
InactiveNorthern Insurance Company of New York301317Agent - Casualty11/8/200712/9/2013
InactiveNorthern Insurance Company of New York301317Agent - Property11/8/200712/9/2013
InactiveOhio Casualty Insurance Company301492Agent - Casualty5/27/20153/29/2024
InactiveOhio Casualty Insurance Company301492Agent - Property5/27/20153/29/2024
InactiveOhio Security Insurance Company300622Agent - Casualty5/27/20153/29/2024
InactiveOhio Security Insurance Company300622Agent - Property5/27/20153/29/2024
InactiveOmaha Insurance Company751908Agent - Health4/9/20121/23/2014
InactiveOwners Insurance Company300796Agent - Casualty2/26/20148/8/2024
InactiveOwners Insurance Company300796Agent - Property2/26/20148/8/2024
InactivePacifiCare Life and Health Insurance Company301304Agent - Health4/19/201111/4/2011
InactivePacific Employers Insurance Company301753Agent - Casualty11/11/20059/16/2024
InactivePacific Employers Insurance Company301753Agent - Property11/11/20059/16/2024
InactivePeerless Indemnity Insurance Company571682Agent - Casualty5/27/20159/26/2024
InactivePeerless Indemnity Insurance Company571682Agent - Property5/27/20159/26/2024
InactivePeerless Insurance Company301910Agent - Casualty5/27/20155/8/2025
InactivePeerless Insurance Company301910Agent - Property5/27/20155/8/2025
InactiveProvident Life and Accident Insurance Company301525Agent - Health10/1/201010/5/2023
InactiveProvident Life and Accident Insurance Company301525Agent - Life10/1/201010/5/2023
InactiveRevol One Insurance Company300681Agent - Life8/5/201110/12/2011
InactiveSentinel Insurance Company, Limited501696Agent - Casualty12/5/201312/22/2023
InactiveSentinel Insurance Company, Limited501696Agent - Property12/5/201312/22/2023
InactiveSt. Paul Fire and Marine Insurance Company300782Agent - Casualty9/22/200412/5/2013
InactiveSt. Paul Fire and Marine Insurance Company300782Agent - Property9/22/200412/5/2013
InactiveStandard Fire Insurance Company (The)301068Agent - Casualty5/9/20068/23/2024
InactiveStandard Fire Insurance Company (The)301068Agent - Property5/9/20068/23/2024
InactiveStandard Life and Accident Insurance Company301534Agent - Health8/12/201410/5/2023
ActiveStar Insurance Company301553Agent - Casualty6/12/2009 
ActiveStar Insurance Company301553Agent - Property6/12/2009 
InactiveState Auto Property & Casualty Insurance Company301953Agent - Casualty5/23/201310/17/2024
InactiveState Auto Property & Casualty Insurance Company301953Agent - Property5/23/201310/17/2024
InactiveState Automobile Mutual Insurance Company301824Agent - Casualty5/23/201310/17/2024
InactiveState Automobile Mutual Insurance Company301824Agent - Property5/23/201310/17/2024
InactiveState National Insurance Company, Inc.300888Agent - Casualty8/1/20138/2/2023
InactiveState National Insurance Company, Inc.300888Agent - Property8/1/20138/2/2023
InactiveThe Phoenix Insurance Company301502Agent - Casualty9/10/200412/5/2013
InactiveThe Phoenix Insurance Company301502Agent - Property9/10/200412/5/2013
InactiveTransportation Insurance Company301575Agent - Casualty7/7/202312/26/2023
InactiveTransportation Insurance Company301575Agent - Property7/7/202312/26/2023
InactiveTravelers Casualty Insurance Company of America300522Agent - Casualty5/9/20068/23/2024
InactiveTravelers Casualty Insurance Company of America300522Agent - Property5/9/20068/23/2024
InactiveTravelers Casualty and Surety Company301067Agent - Casualty9/10/20048/23/2024
InactiveTravelers Casualty and Surety Company301067Agent - Property9/10/20048/23/2024
InactiveTravelers Commercial Casualty Company301695Agent - Casualty5/9/200612/9/2009
InactiveTravelers Commercial Casualty Company301695Agent - Property5/9/200612/9/2009
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty5/23/200712/5/2013
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Property5/23/200712/5/2013
InactiveTravelers Indemnity Company (The)301855Agent - Casualty9/10/200412/9/2009
InactiveTravelers Indemnity Company (The)301855Agent - Property9/10/200412/9/2009
InactiveTravelers Indemnity Company of America (The)301093Agent - Casualty9/10/200410/5/2021
InactiveTravelers Indemnity Company of America (The)301093Agent - Property9/10/200410/5/2021
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Casualty9/10/200412/21/2015
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Property9/10/200412/21/2015
InactiveTravelers Property Casualty Company of America301649Agent - Casualty9/10/20048/23/2024
InactiveTravelers Property Casualty Company of America301649Agent - Property9/10/20048/23/2024
InactiveTwin City Fire Insurance Company300721Agent - Casualty12/6/200611/7/2008
InactiveTwin City Fire Insurance Company300721Agent - Property12/6/200611/7/2008
InactiveU.S. Underwriters Insurance Company815455Agent - Casualty2/28/201910/7/2020
InactiveU.S. Underwriters Insurance Company815455Agent - Property2/28/201910/7/2020
InactiveUNUM Life Insurance Company of America300817Agent - Health10/1/201010/5/2023
InactiveUNUM Life Insurance Company of America300817Agent - Life10/1/201010/5/2023
InactiveUnited States Fidelity and Guaranty Company301449Agent - Casualty9/22/200412/9/2009
InactiveUnited States Fidelity and Guaranty Company301449Agent - Property9/22/200412/9/2009
InactiveUnited of Omaha Life Insurance Company300156Agent - Health7/29/20101/23/2014
InactiveUnited of Omaha Life Insurance Company300156Agent - Life7/29/20101/23/2014
InactiveUnitedHealthcare Insurance Company300946Agent - Health9/16/201610/5/2023
InactiveUnitedHealthcare Insurance Company300946Agent - Life9/16/201610/5/2023
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health9/24/201012/1/2016
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health4/6/202210/5/2023
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/12/20153/4/2016
InactiveUniversal Surety of America301078Agent - Casualty7/13/20209/18/2020
InactiveValley Forge Insurance Company301052Agent - Casualty7/10/201712/26/2023
InactiveValley Forge Insurance Company301052Agent - Property7/10/201712/26/2023
InactiveWest American Insurance Company301112Agent - Casualty5/27/20153/29/2024
InactiveWest American Insurance Company301112Agent - Property5/27/20153/29/2024
InactiveWestchester Fire Insurance Company301414Agent - Casualty6/10/20061/1/2011
InactiveWestchester Fire Insurance Company300990Agent - Casualty1/1/20119/16/2024
InactiveWestchester Fire Insurance Company301414Agent - Property6/10/20061/1/2011
InactiveWestchester Fire Insurance Company300990Agent - Property1/1/20119/16/2024
InactiveWestern Surety Company300283Agent - Casualty12/5/20068/9/2024
InactiveZurich American Insurance Company301121Agent - Casualty12/27/20138/22/2024
InactiveZurich American Insurance Company301121Agent - Property12/27/20138/22/2024
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllen, Kenn Rene 311701Agent - Casualty2/27/200410/28/2020
InactiveAllen, Kenn Rene 311701Agent - Health7/8/201010/28/2020
InactiveAllen, Kenn Rene 311701Agent - Life7/8/201010/28/2020
InactiveAllen, Kenn Rene 311701Agent - Property2/27/200410/28/2020
InactiveAllen, Kenn Rene 311701Surplus Lines Broker - Not Applicable5/31/200812/30/2020
ActiveBrown, William Ilg 1093757Agent - Casualty10/30/2023 
ActiveBrown, William Ilg 1093757Agent - Property10/30/2023 
ActiveBrown, William Ilg 1093757Surplus Lines Broker - Not Applicable4/18/2023 
InactiveFry, Richard Marvin 370972Agent - Casualty2/27/20042/5/2007
InactiveFry, Richard Marvin 370972Agent - Property2/27/20042/5/2007
InactiveSheeran, David N 1074909Agent - Casualty10/28/202010/5/2023
InactiveSheeran, David N 1074909Agent - Health10/28/202010/5/2023
InactiveSheeran, David N 1074909Agent - Life10/28/202010/5/2023
InactiveSheeran, David N 1074909Agent - Property10/28/202010/5/2023
InactiveSheeran, David N 1074909Surplus Lines Broker - Not Applicable10/28/202010/5/2023
InactiveSmith, Steven Mark 534735Agent - Health2/27/20044/30/2010
InactiveSmith, Steven Mark 534735Agent - Life2/27/20044/30/2010

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