DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Dubois, Michael Jon	DOIID	1191679	NAIC NPN	20250594

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	3/4/2022		5/31/2026
Active	Non Resident	Agent	Property	3/4/2022		5/31/2026
* 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	03/15/2026	05/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	5/22/2025
Active	American Guarantee and Liability Insurance Company	301216	Agent - Property	5/22/2025
Active	American Zurich Insurance Company	300592	Agent - Casualty	5/22/2025
Active	American Zurich Insurance Company	300592	Agent - Property	5/22/2025
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	6/14/2022	6/19/2023
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	6/14/2022	6/19/2023
Inactive	United Financial Casualty Company	301886	Agent - Casualty	6/14/2022	6/19/2023
Inactive	United Financial Casualty Company	301886	Agent - Property	6/14/2022	6/19/2023
Active	Zurich American Insurance Company	301121	Agent - Casualty	5/22/2025
Active	Zurich American Insurance Company	301121	Agent - Property	5/22/2025
Active	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	5/22/2025
Active	Zurich American Insurance Company of Illinois	301805	Agent - Property	5/22/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Paychex Insurance Agency Inc	509469	Agent - Casualty	5/22/2025
Active	Paychex Insurance Agency Inc	509469	Agent - Property	5/22/2025