DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Supino, Michael Thomas	DOIID	1034403	NAIC NPN	18374470

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	3/28/2019		7/31/2026
Active	Non Resident	Agent	Casualty	3/28/2019		7/31/2026
* 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	05/15/2024	07/31/2024	05/08/2024	05/08/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Farmington Casualty Company	301137	Agent - Casualty	4/23/2019	12/9/2019
Inactive	Farmington Casualty Company	301137	Agent - Property	4/23/2019	12/9/2019
Inactive	Spinnaker Insurance Company	300099	Agent - Casualty	2/15/2023	3/21/2023
Inactive	Spinnaker Insurance Company	300099	Agent - Property	2/15/2023	3/21/2023
Active	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	11/16/2021
Active	Travelers Casualty and Surety Company of America	301334	Agent - Property	11/16/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Simply Business, LLC	962617	Agent - Casualty	4/23/2019	5/24/2021
Inactive	Simply Business, LLC	962617	Agent - Property	4/23/2019	5/24/2021