DEPARTMENT OF INSURANCE
Affiliations
NameBlack, Michael DOIID865777NAIC NPN17455313
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentPersonal Lines1/14/201510/31/2016 
ActiveNon ResidentIndependent AdjusterProperty & Casualty8/15/2025 10/31/2026
InactiveNon ResidentStaff AdjusterProperty & Casualty4/29/20247/28/2025 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Independent Adjuster08/15/202610/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveUnited Services Automobile Association300158Agent - Personal Lines1/22/20154/8/2015
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveUSAA Financial Planning Services Ins Agency Inc579485Agent - Personal Lines1/22/20154/8/2015

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