DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Burch, Micah	DOIID	1047914	NAIC NPN	18584188

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/18/2019		6/30/2026
Active	Non Resident	Agent	Life	7/18/2019		6/30/2026
* 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	Northwestern Mutual Life Insurance Company	300931	Agent - Health	7/20/2019	12/17/2024
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Life	7/20/2019	12/17/2024
Active	Pruco Life Insurance Company	300954	Agent - Life	1/9/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Baird Insurance Services Inc	399048	Agent - Life	6/3/2025
Pending	Baird Insurance Services Inc	399048	Agent - Health