DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Dowhaniuk, Michelle Rene	DOIID	1050597	NAIC NPN	4586147

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	8/7/2019		7/31/2026
Active	Non Resident	Agent	Casualty	8/7/2019		7/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	3/22/2021		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	05/15/2026	07/31/2026
Surplus Lines Broker	05/15/2026	07/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Zurich American Insurance Company	301121	Agent - Casualty	8/12/2019
Active	Zurich American Insurance Company	301121	Agent - Property	8/12/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Of Oregon Inc	523955	Agent - Casualty	8/14/2019	1/13/2020
Inactive	Willis Of Oregon Inc	523955	Agent - Property	8/14/2019	1/13/2020
Active	Willis Towers Watson Insurance Services West Inc	538729	Agent - Casualty	1/30/2020
Active	Willis Towers Watson Insurance Services West Inc	538729	Agent - Property	1/30/2020
Active	Willis Towers Watson Insurance Services West Inc	538729	Surplus Lines Broker - Not Applicable	4/7/2021