DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Michael, Tina Marie	DOIID	1256007	NAIC NPN	7455758

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	2/13/2023		1/31/2026
Active	Non Resident	Agent	Casualty	2/13/2023		1/31/2026
* 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	11/15/2025	01/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AXIS Insurance Company	301290	Agent - Casualty	3/6/2023
Active	AXIS Insurance Company	301290	Agent - Property	3/6/2023
Active	XL Specialty Insurance Company	301605	Agent - Casualty	3/7/2023
Active	XL Specialty Insurance Company	301605	Agent - Property	3/7/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Fetch Insurance Services LLC	705274	Agent - Casualty	4/12/2023
Active	Fetch Insurance Services LLC	705274	Agent - Property	4/12/2023