DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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	Limited Line Credit	11/20/2019		7/31/2025
Active	Non Resident	Agent	Travel	11/20/2019		7/31/2025
Active	Non Resident	Agent	Casualty	11/20/2019		7/31/2025
Active	Non Resident	Agent	Property	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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	05/15/2025	07/31/2025
Surplus Lines Broker	05/15/2025	07/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	United States Fire Insurance Company	582240	Agent - Casualty	8/22/2024
Active	United States Fire Insurance Company	582240	Agent - Property	8/22/2024

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