DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Blanco, Michele H	DOIID	1063719	NAIC NPN	6826702

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	10/31/2019		10/31/2025
Active	Non Resident	Agent	Property	10/31/2019		10/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	5/13/2022		10/31/2025
* 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
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	1/17/2020
Active	Liberty Mutual Insurance Company	301159	Agent - Property	1/17/2020
Active	NGM Insurance Company	583837	Agent - Casualty	11/20/2019
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	1/17/2020
Active	Ohio Casualty Insurance Company	301492	Agent - Property	1/17/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Starwind Specialty Insurance Services, LLC	513826	Agent - Casualty	11/20/2019
Active	Starwind Specialty Insurance Services, LLC	513826	Agent - Property	1/17/2020