DEPARTMENT OF INSURANCE

Affiliations

Name	Siebert, Michael William	DOIID	1071474	NAIC NPN	11133977

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	1/23/2020	3/31/2025
Inactive	Non Resident	Agent	Property	1/23/2020	3/31/2025
* 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
Inactive	AmGUARD Insurance Company	500010	Agent - Casualty	5/30/2023	5/9/2025
Inactive	AmGUARD Insurance Company	500010	Agent - Property	5/30/2023	5/9/2025
Inactive	American Economy Insurance Company	300315	Agent - Casualty	2/17/2020	11/19/2024
Inactive	American Economy Insurance Company	300315	Agent - Property	2/17/2020	11/19/2024
Inactive	American Strategic Insurance Corp	883540	Agent - Casualty	2/1/2021	3/31/2025
Inactive	American Strategic Insurance Corp	883540	Agent - Property	2/1/2021	3/31/2025
Inactive	Milbank Insurance Company	925185	Agent - Casualty	4/4/2022	5/28/2025
Inactive	Milbank Insurance Company	925185	Agent - Property	4/4/2022	5/28/2025
Inactive	National Specialty Insurance Company	300993	Agent - Casualty	8/1/2022	5/2/2025
Inactive	National Specialty Insurance Company	300993	Agent - Property	8/1/2022	5/2/2025
Inactive	Next Insurance US Company	1083825	Agent - Casualty	7/26/2022	4/29/2025
Inactive	Next Insurance US Company	1083825	Agent - Property	7/26/2022	4/29/2025
Inactive	NorGUARD Insurance Company	500015	Agent - Casualty	5/30/2023	5/9/2025
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	3/16/2020	3/31/2025
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	3/16/2020	3/31/2025
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	2/17/2020	11/19/2024
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	2/17/2020	11/19/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	2/17/2020	11/19/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	2/17/2020	11/19/2024
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	4/22/2020	4/1/2025
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	4/22/2020	4/1/2025
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	6/19/2020	5/28/2025
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	6/19/2020	5/28/2025
Inactive	State National Insurance Company, Inc.	300888	Agent - Casualty	8/1/2022	5/2/2025
Inactive	State National Insurance Company, Inc.	300888	Agent - Property	8/1/2022	5/2/2025
Inactive	Travelers Personal Insurance Company	705785	Agent - Casualty	4/22/2020	4/1/2025
Inactive	Travelers Personal Insurance Company	705785	Agent - Property	4/22/2020	4/1/2025
Inactive	United Financial Casualty Company	301886	Agent - Casualty	3/16/2020	3/31/2025
Inactive	United Financial Casualty Company	301886	Agent - Property	3/16/2020	3/31/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Titan Insurance Agency Inc	1068284	Agent - Casualty	5/27/2021	3/31/2025
Inactive	Titan Insurance Agency Inc	1068284	Agent - Property	5/27/2021	3/31/2025