black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MEDICAL CAPTIVE UNDERWRITERS LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN497233
Status:
First Licensure:
10/01/2024
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
620 N LA SALLE DR STE 201
CHICAGO, IL 60654-3708
Mailing:
620 N LA SALLE DR STE 201
CHICAGO, IL 60654-3708
Phone:
+1 (703) 966-9797
Email:
don@medicalcaptive.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 10/01/2024 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
SYMETRA LIFE INSURANCE COMPANY
10/14/2024 LHF777

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
DONALD MCCULLY
10/01/2024 PRN494602

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
DONALD MCCULLY PRN494602

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19051787

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: 02/16/2026 08:15:50 AM