DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Souder, Michelle J	DOIID	337516	NAIC NPN	7186014

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	8/15/2000		9/30/2024
Active	Resident	Agent	Life	6/15/1999		9/30/2024
Active	Resident	Agent	Property	8/15/2000		9/30/2024
Active	Resident	Agent	Health	12/12/2000		9/30/2024
Inactive	Resident	Agent	General Lines	1/14/1997	8/15/2000
* 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	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Pet Insurance Company, Inc.	301240	Agent - Casualty	10/14/2022
Active	American Pet Insurance Company, Inc.	301240	Agent - Property	10/14/2022
Active	State Farm Fire and Casualty Company	301809	Agent - Casualty	8/15/2000
Inactive	State Farm Fire and Casualty Company	301809	Agent - General Lines	1/14/1997	8/15/2000
Active	State Farm Fire and Casualty Company	301809	Agent - Property	8/15/2000
Inactive	State Farm General Insurance Company	301122	Agent - Casualty	8/15/2000	11/18/2010
Inactive	State Farm General Insurance Company	301122	Agent - General Lines	1/14/1997	8/15/2000
Inactive	State Farm General Insurance Company	301122	Agent - Property	8/15/2000	11/18/2010
Active	State Farm Life Insurance Company	301810	Agent - Life	6/15/1999
Active	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	8/15/2000
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - General Lines	1/14/1997	8/15/2000
Active	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	12/12/2000
Inactive	Time Insurance Company	300683	Agent - Health	2/25/2003	7/14/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Carolyn Thomas Thompson Insurance Agency, Inc.	597982	Agent - Life	11/5/2004	2/28/2007
Inactive	Carolyn Thomas Thompson Insurance Agency, Inc.	597982	Agent - Health	11/5/2004	2/28/2007
Inactive	Carolyn Thomas Thompson Insurance Agency, Inc.	597982	Agent - Property	11/5/2004	2/28/2007
Inactive	Carolyn Thomas Thompson Insurance Agency, Inc.	597982	Agent - Casualty	11/5/2004	2/28/2007
Active	Dave Wickline Insurance Agency Inc.	401122	Agent - Life	1/24/2007
Active	Dave Wickline Insurance Agency Inc.	401122	Agent - Health	1/24/2007
Active	Dave Wickline Insurance Agency Inc.	401122	Agent - Property	1/24/2007
Active	Dave Wickline Insurance Agency Inc.	401122	Agent - Casualty	1/24/2007