DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Dubois, Michael Jon	DOIID	1191679	NAIC NPN	20250594

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	3/4/2022		5/31/2026
Active	Non Resident	Agent	Property	3/4/2022		5/31/2026
* 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
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	6/14/2022	6/19/2023
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	6/14/2022	6/19/2023
Inactive	United Financial Casualty Company	301886	Agent - Casualty	6/14/2022	6/19/2023
Inactive	United Financial Casualty Company	301886	Agent - Property	6/14/2022	6/19/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Paychex Insurance Agency Inc	509469	Agent - Casualty
Denied	Paychex Insurance Agency Inc	509469	Agent - Property