black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MARC H. RISEN

PRODUCER NON-RESIDENT

License Number:
PRN277490
Status:
First Licensure:
10/22/2016
Cancel Date:
None

Mailing:
LOUISVILLE, KY 40253
Phone:
+1 (502) 429-9990
Email:
mhrisen@midwesterninsurance.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 10/22/2016

Agency

Name Issue Date License Number Expiration Date Cancel Date
MIDWESTERN INSURANCE ALLIANCE LLC
10/27/2016 AGN277749

Employer

Name Issue Date License Number Expiration Date Cancel Date
GREAT AMERICAN ALLIANCE INSURANCE COMPANY
04/09/2025 PCF46804
GREAT AMERICAN INSURANCE COMPANY
04/09/2025 PCF764
NATIONAL LIABILITY & FIRE INSURANCE COMPANY
11/04/2021 PCF50199
NORTH POINTE INSURANCE COMPANY
11/11/2021 PCF108068
PRAETORIAN INSURANCE COMPANY
06/23/2017 PCF68207
QBE INSURANCE CORPORATION
06/23/2017 PCF82307

Authority

Description Issue Date Termination Date Status
CASUALTY 10/22/2016 Active
PROPERTY 10/22/2016 Active

Responsible For

Name License Number
MIDWESTERN INSURANCE ALLIANCE LLC AGN277749

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
5953953

Other Addresses

Address Type
9520 ORMSBY STATION RD STE 300
LOUISVILLE, KY 40223-5019
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 06/13/2025 08:19:00 PM