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
Pending Replacement	Non Resident	Agent	Life	7/18/2019		6/30/2026
Pending Replacement	Non Resident	Agent	Health	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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	04/15/2026	06/30/2026

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
Pending Replacement	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
Pending Replacement	Baird Insurance Services Inc	399048	Agent - Life	6/3/2025
Denied	Baird Insurance Services Inc	399048	Agent - Health