DEPARTMENT OF INSURANCE

Affiliations

Name	Busick, C Michael	DOIID	338088	NAIC NPN	638971

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	10/15/1990	2/1/2024
Inactive	Resident	Agent	General Lines	12/29/1982	8/15/2000
Inactive	Resident	Agent	Casualty	8/15/2000	2/1/2024
Inactive	Resident	Agent	Property	8/15/2000	2/1/2024
Inactive	Resident	Agent	Health	10/15/1990	2/1/2024
Inactive	Resident	Agent	Prepaid Dental Plan	5/11/2000	3/1/2001
Inactive	Resident	Surplus Lines Broker	Not Applicable	10/9/1989	3/31/1998
* 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	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	3/31/2004	6/6/2007
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	3/31/2004	6/6/2007
Inactive	Allstate Northbrook Indemnity Company	301309	Agent - General Lines	11/11/1985	8/15/2000
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	8/15/2000	12/11/2003
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - General Lines	2/7/1983	8/15/2000
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	8/15/2000	12/11/2003
Inactive	American Economy Insurance Company	300315	Agent - Casualty	8/15/2000	10/4/2002
Inactive	American Economy Insurance Company	300315	Agent - General Lines	11/1/1998	8/15/2000
Inactive	American Economy Insurance Company	300315	Agent - Property	8/15/2000	10/4/2002
Inactive	American States Insurance Company	301230	Agent - Casualty	8/15/2000	10/4/2002
Inactive	American States Insurance Company	301230	Agent - General Lines	11/1/1998	8/15/2000
Inactive	American States Insurance Company	301230	Agent - Property	8/15/2000	10/4/2002
Inactive	Amerisure Insurance Company	300298	Agent - General Lines	7/13/1983	3/31/1996
Inactive	Amerisure Mutual Insurance Company	301576	Agent - General Lines	7/13/1983	3/31/1996
Inactive	Assurance Company of America	300432	Agent - General Lines	10/28/1994	3/31/1996
Inactive	Berkley Insurance Company	301355	Agent - Casualty	4/3/2014	2/1/2024
Inactive	Berkley Insurance Company	301355	Agent - Property	4/3/2014	2/1/2024
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	6/27/2001	11/6/2006
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	6/27/2001	11/6/2006
Inactive	Bridgefield Casualty Insurance Company	500013	Agent - Casualty	10/13/2003	2/1/2024
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	4/21/2006	3/11/2024
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	4/21/2006	3/11/2024
Inactive	Cincinnati Casualty Company (The)	300308	Agent - Casualty	2/13/2016	9/2/2022
Inactive	Cincinnati Casualty Company (The)	300308	Agent - Property	2/13/2016	9/2/2022
Inactive	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	2/13/2016	9/2/2022
Inactive	Cincinnati Indemnity Company (The)	301566	Agent - Property	2/13/2016	9/2/2022
Inactive	Cincinnati Insurance Company	301298	Agent - Casualty	2/13/2016	9/2/2022
Inactive	Cincinnati Insurance Company	301298	Agent - Property	2/13/2016	9/2/2022
Inactive	Connecticut Indemnity Company (The)	301062	Agent - Casualty	8/15/2000	12/31/2004
Inactive	Connecticut Indemnity Company (The)	301062	Agent - General Lines	2/7/1996	8/15/2000
Inactive	Connecticut Indemnity Company (The)	301062	Agent - Property	8/15/2000	12/31/2004
Inactive	Continental Casualty Company	301019	Agent - Casualty	5/8/2001	12/11/2003
Inactive	Continental Casualty Company	301019	Agent - Health	7/13/1994	8/10/2005
Inactive	Continental Casualty Company	301019	Agent - Property	5/8/2001	12/11/2003
Inactive	Cumberland Surety Insurance Company Inc.	300112	Agent - General Lines	3/1/1993	3/31/1998
Inactive	Design Professionals Insurance Company	301608	Agent - Casualty	8/15/2000	12/31/2002
Inactive	Design Professionals Insurance Company	301608	Agent - General Lines	12/16/1996	8/15/2000
Inactive	Design Professionals Insurance Company	301608	Agent - Property	8/15/2000	12/31/2002
Inactive	Farmington Casualty Company	301137	Agent - Casualty	5/9/2006	12/3/2014
Inactive	Farmington Casualty Company	301137	Agent - Property	5/9/2006	12/3/2014
Inactive	Fire and Casualty Insurance Company of Connecticut (The)	301592	Agent - Casualty	8/15/2000	12/31/2004
Inactive	Fire and Casualty Insurance Company of Connecticut (The)	301592	Agent - General Lines	2/7/1996	8/15/2000
Inactive	Fire and Casualty Insurance Company of Connecticut (The)	301592	Agent - Property	8/15/2000	12/31/2004
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	8/15/2000	8/22/2013
Inactive	Fireman's Fund Insurance Company	301423	Agent - General Lines	2/17/1998	8/15/2000
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	8/15/2000	8/22/2013
Inactive	General Insurance Company of America	300261	Agent - Casualty	8/15/2000	10/4/2002
Inactive	General Insurance Company of America	300261	Agent - General Lines	12/18/1991	8/15/2000
Inactive	General Insurance Company of America	300261	Agent - Property	8/15/2000	10/4/2002
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	3/23/2005	2/1/2024
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	3/23/2005	2/1/2024
Inactive	Grange Insurance Company	300234	Agent - Casualty	3/23/2005	2/1/2024
Inactive	Grange Insurance Company	300234	Agent - Property	3/23/2005	2/1/2024
Inactive	Grange Life Insurance Company	300128	Agent - Health	3/23/2005	3/31/2021
Inactive	Grange Life Insurance Company	300128	Agent - Life	3/23/2005	12/28/2020
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	11/11/2007	2/1/2024
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	11/11/2007	2/1/2024
Inactive	Great American Insurance Company	301586	Agent - Casualty	8/15/2000	4/25/2019
Inactive	Great American Insurance Company	301586	Agent - General Lines	7/5/1995	8/15/2000
Inactive	Great American Insurance Company	301586	Agent - Property	8/15/2000	4/25/2019
Inactive	Greenwich Insurance Company	301754	Agent - Casualty	7/30/2008	2/1/2024
Inactive	Greenwich Insurance Company	301754	Agent - Property	7/30/2008	2/1/2024
Inactive	Guarantee Life Insurance Company	301560	Agent - Health	2/13/1991	3/31/1997
Inactive	Guarantee Life Insurance Company	301560	Agent - Life	2/13/1991	3/31/1997
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	10/3/1995	11/6/2006
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	10/3/1995	11/6/2006
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	10/31/2017	12/18/2019
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	10/31/2017	12/18/2019
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	12/31/2014	2/1/2024
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	12/31/2014	2/1/2024
Inactive	Hartford Life Group Insurance Company	301708	Agent - Health	3/21/2002	12/31/2006
Inactive	Hartford Life Group Insurance Company	301708	Agent - Life	3/21/2002	12/31/2006
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	4/21/2004	12/8/2009
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	4/21/2004	12/8/2009
Inactive	Maryland Casualty Company	301719	Agent - General Lines	10/28/1994	3/31/1996
Inactive	Motorists Commercial Mutual Insurance Company	301941	Agent - Casualty	4/27/2019	6/29/2022
Inactive	Motorists Commercial Mutual Insurance Company	301941	Agent - Property	4/27/2019	6/29/2022
Inactive	Motorists Mutual Insurance Company	300963	Agent - Casualty	2/5/2013	6/29/2022
Inactive	Motorists Mutual Insurance Company	300963	Agent - Property	2/5/2013	6/29/2022
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Casualty	8/15/2000	12/11/2003
Inactive	National Fire Insurance Company of Hartford	301063	Agent - General Lines	7/19/1994	8/15/2000
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Property	8/15/2000	12/11/2003
Inactive	Ohio Farmers Insurance Company	301667	Agent - General Lines	12/29/1982	2/4/1999
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	10/15/1990	1/3/2003
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	10/15/1990	1/3/2003
Inactive	Reliance Insurance Company	300785	Agent - Casualty	8/15/2000	6/5/2001
Inactive	Reliance Insurance Company	300785	Agent - General Lines	12/29/1982	8/15/2000
Inactive	Reliance Insurance Company	300785	Agent - Property	8/15/2000	6/5/2001
Inactive	Security Insurance Company of Hartford	300973	Agent - Casualty	8/15/2000	7/25/2007
Inactive	Security Insurance Company of Hartford	300973	Agent - General Lines	9/7/1989	8/15/2000
Inactive	Security Insurance Company of Hartford	300973	Agent - Property	8/15/2000	7/25/2007
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	7/1/1991	3/31/1997
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	9/22/2013	8/17/2017
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	9/22/2013	8/17/2017
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	8/15/2000	12/14/2016
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - General Lines	2/7/1983	8/15/2000
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	8/15/2000	12/14/2016
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	8/15/2000	12/3/2014
Inactive	St. Paul Mercury Insurance Company	300783	Agent - General Lines	3/21/1984	8/15/2000
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	8/15/2000	12/3/2014
Inactive	St. Paul Protective Insurance Company	301215	Agent - Casualty	8/15/2000	6/16/2003
Inactive	St. Paul Protective Insurance Company	301215	Agent - General Lines	11/11/1985	8/15/2000
Inactive	St. Paul Protective Insurance Company	301215	Agent - Property	8/15/2000	6/16/2003
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	8/15/2000	3/11/2024
Inactive	Standard Fire Insurance Company (The)	301068	Agent - General Lines	4/3/2000	8/15/2000
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	8/15/2000	3/11/2024
Inactive	Swiss Re Corporate Solutions America Insurance Corporation	300338	Agent - Casualty	8/15/2000	7/30/2020
Inactive	Swiss Re Corporate Solutions America Insurance Corporation	300338	Agent - General Lines	8/22/1989	8/15/2000
Inactive	Swiss Re Corporate Solutions America Insurance Corporation	300338	Agent - Property	8/15/2000	7/30/2020
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	8/15/2000	3/11/2024
Inactive	The Phoenix Insurance Company	301502	Agent - General Lines	4/3/2000	8/15/2000
Inactive	The Phoenix Insurance Company	301502	Agent - Property	8/15/2000	3/11/2024
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/1/2020	2/1/2024
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2020	2/1/2024
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	6/29/2009	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	6/29/2009	10/1/2020
Inactive	Transcontinental Insurance Company	301731	Agent - Casualty	8/15/2000	12/11/2003
Inactive	Transcontinental Insurance Company	301731	Agent - General Lines	2/7/1983	8/15/2000
Inactive	Transcontinental Insurance Company	301731	Agent - Property	8/15/2000	12/11/2003
Inactive	Transportation Insurance Company	301575	Agent - Casualty	8/15/2000	12/11/2003
Inactive	Transportation Insurance Company	301575	Agent - General Lines	7/19/1994	8/15/2000
Inactive	Transportation Insurance Company	301575	Agent - Property	8/15/2000	12/11/2003
Inactive	TravCo Personal Insurance Company	301284	Agent - General Lines	11/11/1985	8/15/2000
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Casualty	9/3/2002	12/5/2013
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Property	9/3/2002	12/5/2013
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	5/9/2006	3/11/2024
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	5/9/2006	3/11/2024
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	8/15/2000	3/11/2024
Inactive	Travelers Casualty and Surety Company	301067	Agent - General Lines	4/3/2000	8/15/2000
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	8/15/2000	3/11/2024
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	8/15/2000	3/11/2024
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - General Lines	4/3/2000	8/15/2000
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Property	8/15/2000	3/11/2024
Inactive	Travelers Commercial Casualty Company	301695	Agent - Casualty	5/9/2006	8/2/2013
Inactive	Travelers Commercial Casualty Company	301695	Agent - Property	5/9/2006	8/2/2013
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	7/19/2005	3/11/2024
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	7/19/2005	3/11/2024
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	8/15/2000	3/11/2024
Inactive	Travelers Indemnity Company (The)	301855	Agent - General Lines	4/3/2000	8/15/2000
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	8/15/2000	3/11/2024
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	8/15/2000	3/11/2024
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - General Lines	4/3/2000	8/15/2000
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	8/15/2000	3/11/2024
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	4/21/2006	3/11/2024
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	4/21/2006	3/11/2024
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	8/15/2000	3/11/2024
Inactive	Travelers Property Casualty Company of America	301649	Agent - General Lines	4/3/2000	8/15/2000
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	8/15/2000	3/11/2024
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Casualty	9/3/2002	12/5/2013
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Property	9/3/2002	12/5/2013
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	3/23/2005	2/1/2024
Inactive	Trustgard Insurance Company	300104	Agent - Property	3/23/2005	2/1/2024
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	10/17/2016	2/1/2024
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	10/17/2016	2/1/2024
Inactive	Valley Forge Insurance Company	301052	Agent - Casualty	8/15/2000	12/11/2003
Inactive	Valley Forge Insurance Company	301052	Agent - General Lines	7/19/1994	8/15/2000
Inactive	Valley Forge Insurance Company	301052	Agent - Property	8/15/2000	12/11/2003
Inactive	Vanliner Insurance Company	301420	Agent - Casualty	4/15/2005	6/18/2006
Inactive	Vanliner Insurance Company	301420	Agent - Property	4/15/2005	6/18/2006
Inactive	Westfield Insurance Company	301950	Agent - General Lines	12/29/1982	2/4/1999
Inactive	Westfield National Insurance Company	301036	Agent - General Lines	2/12/1991	2/4/1999
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	10/15/1990	11/17/2000
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	10/15/1990	11/17/2000
Inactive	XL Specialty Insurance Company	301605	Agent - Casualty	5/6/2005	2/1/2024
Inactive	XL Specialty Insurance Company	301605	Agent - Property	5/6/2005	2/1/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Charles Taylor Tpa, LLC	401233	Agent - General Lines	6/19/2000	8/15/2000
Inactive	Charles Taylor Tpa, LLC	401233	Agent - Life	3/13/1998	2/1/2024
Inactive	Charles Taylor Tpa, LLC	401233	Agent - Health	3/13/1998	2/1/2024
Inactive	Charles Taylor Tpa, LLC	401233	Agent - Prepaid Dental Plan	5/11/2000	3/1/2001
Inactive	Charles Taylor Tpa, LLC	401233	Agent - Property	8/15/2000	2/1/2024
Inactive	Charles Taylor Tpa, LLC	401233	Agent - Casualty	8/15/2000	2/1/2024
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	The Underwriters Group, Inc	674720	Agent - Life	3/3/2008	2/1/2024
Inactive	The Underwriters Group, Inc	674720	Agent - Health	3/3/2008	2/1/2024
Inactive	The Underwriters Group, Inc	674720	Agent - Property	3/3/2008	2/1/2024
Inactive	The Underwriters Group, Inc	674720	Agent - Casualty	3/3/2008	2/1/2024
Inactive	Tyler Associates Inc.	401031	Agent - General Lines	1/16/1997	1/29/1998
Inactive	Tyler Associates Inc.	401031	Agent - Life	1/16/1997	1/29/1998
Inactive	Tyler Associates Inc.	401031	Agent - Health	1/16/1997	1/29/1998