DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Williams, Michael David	DOIID	1059999	NAIC NPN	7107462

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	10/9/2019		12/31/2024
Active	Non Resident	Agent	Casualty	10/9/2019		12/31/2024
Active	Non Resident	Agent	Life	10/9/2019		12/31/2024
Active	Non Resident	Agent	Health	10/9/2019		12/31/2024
* 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	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Berkley Life and Health Insurance Company	301421	Agent - Health	10/31/2019
Active	Key Risk Insurance Company	630687	Agent - Casualty	1/8/2020
Active	Key Risk Insurance Company	630687	Agent - Property	1/8/2020
Active	StarNet Insurance Company	502746	Agent - Casualty	1/9/2020
Active	StarNet Insurance Company	502746	Agent - Health	10/31/2019
Active	StarNet Insurance Company	502746	Agent - Property	1/9/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Tennessee Risk Management Partners, Llc	1059962	Agent - Health	10/9/2019	3/31/2021
Inactive	Tennessee Risk Management Partners, Llc	1059962	Agent - Casualty	10/9/2019	3/31/2021
Inactive	Tennessee Risk Management Partners, Llc	1059962	Agent - Life	10/9/2019	3/31/2021
Inactive	Tennessee Risk Management Partners, Llc	1059962	Agent - Property	10/9/2019	3/31/2021