DEPARTMENT OF INSURANCE

Affiliations

Name	Terrill, Michael Leo	DOIID	519662	NAIC NPN	3198682

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	12/27/2000	9/30/2027
Active	Non Resident	Agent	Property	12/27/2000	9/30/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	21st Century Centennial Insurance Company	301840	Agent - Casualty	2/11/2002	11/12/2004
Inactive	21st Century Centennial Insurance Company	301840	Agent - Property	2/11/2002	11/12/2004
Inactive	21st Century North America Insurance Company	300884	Agent - Casualty	12/28/2004	11/4/2016
Inactive	21st Century North America Insurance Company	300884	Agent - Property	12/28/2004	11/4/2016
Inactive	21st Century Premier Insurance Company	301925	Agent - Casualty	12/27/2000	11/12/2004
Inactive	21st Century Premier Insurance Company	301925	Agent - Property	12/27/2000	11/12/2004
Inactive	American Home Assurance Company	300246	Agent - Casualty	12/28/2004	9/16/2009
Inactive	American Home Assurance Company	300246	Agent - Property	12/28/2004	9/16/2009
Active	American Modern Home Insurance Company	300791	Agent - Casualty	6/16/2021
Active	American Modern Home Insurance Company	300791	Agent - Property	6/16/2021
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	2/6/2016	7/21/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	2/6/2016	7/21/2017
Active	Homesite Insurance Company	301139	Agent - Casualty	11/12/2020
Active	Homesite Insurance Company	301139	Agent - Property	11/12/2020
Active	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	11/12/2020
Active	Homesite Insurance Company of the Midwest	874850	Agent - Property	11/12/2020
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	9/1/2017	9/20/2020
Inactive	Trumbull Insurance Company	300242	Agent - Property	9/1/2017	9/20/2020
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	9/1/2017	12/1/2020
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	9/1/2017	12/1/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	GE Capital Agency, Inc.	524491	Agent - Property	6/8/2001	1/8/2004
Inactive	GE Capital Agency, Inc.	524491	Agent - Casualty	6/8/2001	1/8/2004