DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Palotay, Michael Richard	DOIID	1174713	NAIC NPN	16306083

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	11/30/2021		11/30/2026
Active	Non Resident	Agent	Casualty	11/30/2021		11/30/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	1/13/2022		11/30/2026
* 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	U.S. Specialty Insurance Company	300186	Agent - Casualty	12/1/2022
Active	U.S. Specialty Insurance Company	300186	Agent - Property	12/1/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Nas Insurance Services, LLC	710641	Agent - Casualty	12/14/2023
Active	Nas Insurance Services, LLC	710641	Agent - Property	12/14/2023
Active	Nas Insurance Services, LLC	710641	Surplus Lines Broker - Not Applicable	12/14/2023
Active	Professional Indemnity Agency Inc	636863	Agent - Casualty	12/1/2022
Active	Professional Indemnity Agency Inc	636863	Agent - Property	12/1/2022