DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Lachance, Michael D	DOIID	362340	NAIC NPN	3680409

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	12/31/1998	3/29/2004
Inactive	Non Resident	Agent	Health	4/1/2015	9/30/2020
Inactive	Non Resident	Agent	Life	4/1/2015	9/30/2020
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Disability Reinsurance Management Services Inc.	394470	Administrator - Not Applicable	12/31/1998	3/29/2004
Inactive	Gallagher Re Inc	831244	Agent - Life	9/4/2019	7/9/2020
Inactive	Gallagher Re Inc	831244	Agent - Health	9/4/2019	7/9/2020