black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

EDUCATIONAL & INSTITUTIONAL INSURANCE ADMINISTRATORS INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN57785
Status:
Active
First Licensure:
09/15/1998
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
200 S WACKER DR STE 1325
CHICAGO, IL 60606-5860
Mailing:
200 S WACKER DR STE 1325
CHICAGO, IL 60606-5860
Phone:
+1 (312) 648-0914
Fax:
+1 (312) 648-5511
Email:
bandrade@eiia.org

History
License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 08/05/2004 04/01/2027
*** NOT ACTIVE *** 07/01/2003 08/04/2004
NON-RESIDENT PRODUCER AGENCY 09/15/1998 06/30/2003

Employer
Name Issue Date License Number Expiration Date Cancel Date
THE CHARTER OAK FIRE INSURANCE COMPANY
 01/19/1999 PCF403 07/01/2003
THE CHARTER OAK FIRE INSURANCE COMPANY
 12/22/2006 PCF403 06/30/2014
FARMINGTON CASUALTY COMPANY
 12/22/2006 PCF995 06/30/2014
HARTFORD LIFE & ACCIDENT INSURANCE COMPANY
 06/26/2012 LHF193
LINCOLN LIFE ASSURANCE COMPANY OF BOSTON
 05/07/2007 LHF339 01/17/2011
NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH PA
 08/26/2010 PCF527
NATIONWIDE LIFE INSURANCE COMPANY
 02/18/2015 LHF29 08/19/2019
THE PHOENIX INSURANCE COMPANY
 01/19/1999 PCF557 07/01/2003
THE PHOENIX INSURANCE COMPANY
 12/22/2006 PCF557 06/30/2014
THE STANDARD FIRE INSURANCE COMPANY
 12/22/2006 PCF584 06/09/2015
STANDARD INSURANCE COMPANY
 04/17/2017 LHF991 11/18/2022
TRAVELERS CASUALTY AND SURETY COMPANY
 11/05/2004 PCF348 06/30/2014
TRAVELERS CASUALTY INSURANCE COMPANY OF AMERICA
 12/22/2006 PCF935 06/30/2014
TRAVELERS COMMERCIAL INSURANCE COMPANY
 06/18/2007 PCF31811 11/07/2011
THE TRAVELERS INDEMNITY COMPANY OF AMERICA
 01/19/1999 PCF585 07/01/2003
THE TRAVELERS INDEMNITY COMPANY OF AMERICA
 12/22/2006 PCF585 07/07/2016
THE TRAVELERS INDEMNITY COMPANY OF CONNECTICUT
 01/19/1999 PCF435 07/01/2003
THE TRAVELERS INDEMNITY COMPANY OF CONNECTICUT
 12/22/2006 PCF435 06/30/2014
THE TRAVELERS INDEMNITY COMPANY
 01/19/1999 PCF602 07/01/2003
TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
 01/19/1999 PCF711 07/01/2003
TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
 11/05/2004 PCF711
UNITED STATES FIRE INSURANCE COMPANY
 03/23/2007 PCF101256
UNITEDHEALTHCARE INSURANCE COMPANY
 03/05/2020 LHF700 06/01/2021

Affiliated Agent
Name Issue Date License Number Expiration Date Cancel Date
DAVID MICHAEL DIETZ
 01/24/2025 PRN472650
MARY E. MORIARTY
 06/26/2006 PRN89789

Branch Office

None.

Supervised Entity

None.

Responsible Individual
Name License Number
DAVID MICHAEL DIETZ PRN472650

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
2014669

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: 12/09/2025 05:24:18 PM