DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	O Brien, Michael Sean	DOIID	1065960	NAIC NPN	8229151

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	11/20/2019		7/31/2025
Active	Non Resident	Agent	Limited Line Credit	11/20/2019		7/31/2025
Active	Non Resident	Agent	Casualty	11/20/2019		7/31/2025
Active	Non Resident	Agent	Travel	11/20/2019		7/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	11/20/2019		7/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Amwins Insurance Brokerage LLC	624422	Agent - Casualty
Denied	Amwins Insurance Brokerage LLC	624422	Agent - Property
Active	Amwins Insurance Brokerage LLC	624422	Surplus Lines Broker - Not Applicable	5/24/2022