black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

PHYSICIANS MUTUAL INSURANCE COMPANY

INSURANCE COMPANY

License Number:
LHF558
Status:
First Licensure:
07/01/1966
Cancel Date:
None
Renewal Date:
08/10/2025
NAIC Code:
80578

Mailing:
MARY J COOK
PRODUCT COMPLIANCE & TESTING ANALYSIS
2600 DODGE ST
OMAHA, NE 68131-2672
Phone:
+1 (402) 930-2401
Fax:
+1 (402) 930-2803

History

License Type Start Date End Date
INSURANCE COMPANY 03/01/1990 08/10/2025

Employee

Name Issue Date License Number Expiration Date Cancel Date
ANA R. BELTRAN
01/25/2021 PRN373444
ANDREW FRANCIS BRADSHAW
12/05/2018 PRN292932
KENDRA P. CARTER
09/26/2018 PRN317777
CBU ADVANTAGE, LLC
03/06/2025 AGR347959
RENAE COTTINGHAM
07/23/2020 PRN357010
CAITLIN BRIANNA DOUGHERTY
01/20/2025 PRN505943
RASHAWN FARMER
04/18/2022 PRN416273
JOSEPH LEWIS FISHER
04/28/2023 PRN450197
SHELLI FEBRAU GARNER
01/13/2025 PRN505435
DEBORAH GRIMM
11/10/2017 PRN297908
JOSHUA A. GRUBAUGH
12/05/2022 PRN438584
NICOLE HAMMER
03/20/2025 PRN299459
WILLIAM CHRISTOPHER LEE HANDY
11/12/2024 PRN309010
DIANE HARBOLD
04/22/2022 PRN416588
ADAM B. HARROLD
05/18/2022 PRN418665
AARON JAMES HENRY
06/19/2014 PRN233939
THE LAHNER GROUP, LLC
08/08/2023 AGR353381
RENATA CARMEN LAHNER
08/07/2023 PRR186835
KYLE JAYNE LAMMERS
02/24/2020 PRN298187
KRISTEN L. LYNCH
10/01/2018 PRN318112
NICHOLAS LYPACZEWSKI
08/19/2021 PRN391838
SHANA MARTINEZ
10/21/2024 PRN498987
BRANDON MOORE
10/30/2024 PRN499651
KEITH LEE MORRIS
05/09/2025 PRN515103
KEVIN PERRY
03/20/2025 PRN294227
RAINWALK TECHNOLOGY
10/30/2024 AGN496685
GLORIA L. RAUDALES
10/21/2024 PRN498979
IVAN A. RECINOS
10/18/2022 PRN433963
JONAH J. ROBERTS
08/06/2020 PRN358162
LAWRENCE D. ROLLINS
11/08/2017 PRN44095
CYMONE LEEANN RUSS
12/21/2023 PRN350442
EMILY KATHRYN SHARON
03/22/2016 PRN226930
LAYTON SMITH
11/18/2021 PRN163646
ASHLEY R. SMOOK
05/12/2025 PRN515247
JOSHUA SNEAD
10/30/2024 PRN495504
JACOB T. STEENBOCK
12/16/2022 PRN439569
JOHN P. WATSON
11/08/2017 PRN297513
WYATT J. WEBSTER
11/18/2022 PRN437201
CLARA ELIZABETH YANEZ PEREZ
07/17/2023 PRN456603
HEIDI YOUNG
05/16/2022 PRN253759

Authority

Description Issue Date Termination Date Status
HEALTH 03/01/1996 Active
INLAND MARINE 02/23/2021 Active
HEALTH 01/01/1901 03/01/1996 Terminated

Contacts

Type Contact
PRODUCER LICENSING CONTACT CAROL GOOCHAY
CAROL GOOCHAY
2600 DODGE ST
OMAHA, NE 68131-2672
Phone: +1 (402) 930-2639
Fax: +1 (866) 662-9809
Email: carol.goochey@physiciansmutual.com
SERVICE OF PROCESS CT CORPORATION SYSTEM
128 STATE ST # 3
AUGUSTA, ME 04330-5630
Phone: +1 (855) 316-8944
Email: info@ctadvantage.com

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN)

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: 05/18/2025 10:34:37 PM