DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Burch, Micah	DOIID	1047914	NAIC NPN	18584188

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/18/2019		6/30/2026
Active	Non Resident	Agent	Life	7/18/2019		6/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	04/15/2026	06/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Health	7/20/2019	12/17/2024
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Life	7/20/2019	12/17/2024
Active	Pruco Life Insurance Company	300954	Agent - Life	1/9/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Baird Insurance Services Inc	399048	Agent - Life	6/3/2025
Denied	Baird Insurance Services Inc	399048	Agent - Health