DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Michon, Samuel Alexander	DOIID	1298075	NAIC NPN	2646716

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/13/2023		7/31/2025
Active	Non Resident	Agent	Life	9/13/2023		7/31/2025
Active	Non Resident	Agent	Casualty	9/13/2023		7/31/2025
Active	Non Resident	Agent	Property	9/13/2023		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

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Arch Insurance Company	300688	Agent - Casualty	1/24/2025
Active	Arch Insurance Company	300688	Agent - Health	1/24/2025
Active	Arch Insurance Company	300688	Agent - Property	1/24/2025
Active	Markel Insurance Company	301475	Agent - Health	6/11/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Casualty
Denied	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Life
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Health	6/11/2024
Denied	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Property