black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MODERN WOODMEN OF AMERICA

INSURANCE COMPANY FRATERNAL

License Number:
FRF29322
Status:
First Licensure:
07/20/1899
Cancel Date:
None
Renewal Date:
08/10/2025
NAIC Code:
57541

Street Location:
TODD SWANSON
1701 1ST AVE
ROCK ISLAND, IL 61201-8724
Mailing:
ERICA ANDERSON
1701 1ST AVE
ROCK ISLAND, IL 61201-8724
Phone:
+1 (800) 447-9811
Fax:
+1 (309) 793-5508
Email:
erica.anderson@modern-woodmen.org

History

License Type Start Date End Date
INSURANCE COMPANY FRATERNAL 07/01/1990 08/10/2025

Employee

Name Issue Date License Number Expiration Date Cancel Date
CAREY ANN ARTHURS
01/05/2021 PRR346465
CHRIS BACHAND
10/24/2022 PRN435004
CARTER JAMES BRUCE
01/17/2023 PRR440921
ARTHUR R. CHAMBERLAIN
05/05/2009 PRR17123
FOREST D. CLUFF
09/14/1991 PRR33624
PAUL COLASANTE
05/06/1985 PRR18083
KAITLYN D. COTE
06/03/2025 PRR276383
MARK JOSEPH COTE
01/26/1999 PRR33139
MICHAEL SHAWN COURTEMANCHE
03/31/1999 PRR44118
PAUL P. GAGNE
04/06/2015 PRR248514
TIMOTHY K. GRAHAM
01/12/2009 PRR162395
THEODORE H. HEIDRICH JR
08/20/2012 PRN206454
PATRICK R. LINEHAN
06/25/2007 PRR138459
CHAD KEITH LUTICK
12/17/2024 PRR503586
SCOTT M. MCDONALD
11/22/2024 PRN501894
MATTHEW JACOB NADEAU
04/14/2021 PRR379903
RONALD JAMES OUELLETTE
04/06/2001 PRR22400
KATHRYN GRACE PARKER
01/24/2025 PRN506147
SCOTT S. PATERICK
06/03/2016 PRN198212
KIM L. PELKEY
10/08/1998 PRR56929
DAVID CHARLES PEREIRA
07/31/2006 PRN102856
TIMOTHY PIKE
04/25/2023 PRR448849
AIMEE POLK
10/17/2024 PRN498604
ROBERT P. POTTER
08/30/1984 PRR9437
PETER J. RAVEN
10/08/2024 PRN486092
ROSEMARY ANNE REID
09/08/2000 PRR6212
MONICA SUE ROCK
05/15/2025 PRN220068
JOSEPH RENE SOUCY
07/11/2013 PRN218383
BARBARA F. SWEET
12/23/2019 PRN346330
JAMES M. THOMPSON
01/06/2020 PRN346815
DALE ALAN TUDOR
07/17/1996 PRR38635
MARYANN TUDOR
08/22/2005 PRR113799
SETH ORION VLAHAKOS
12/09/2022 PRR380012
COREY W. WELLS
03/07/2024 PRR478066
CAMERON LEE WOOD
07/24/2024 PRR489725

Authority

Description Issue Date Termination Date Status
LIFE 07/01/1996 Active
HEALTH 07/01/1996 Active
VARIABLE LIFE 04/05/2002 Active
VARIABLE ANNUITY 04/05/2002 Active
HEALTH 01/01/1901 07/31/1995 Terminated
LIFE AND HEALTH 01/01/1901 07/01/1996 Terminated
LIFE 01/01/1901 07/31/1995 Terminated

Contacts

Type Contact
PRODUCER LICENSING CONTACT DEBBIE SMILEY
DEBBIE SMILEY
1701 1ST AVE
ROCK ISLAND, IL 61201-8724
Phone: +1 (309) 793-5544
Email: debbie.smiley@modern-woodmen.org
SERVICE OF PROCESS CHARLES C. SOLTAN, LLC
AT LAW
96 STATE ST
AUGUSTA, ME 04330-5610
Phone: +1 (207) 621-6300

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN)

Other Phone Numbers

Phone Number Type
+1 (309) 793-5537 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: 06/20/2025 08:39:40 PM