DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Plourde, Michael David	DOIID	509192	NAIC NPN	3339916

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	11/9/2000	2/28/2010
Inactive	Non Resident	Agent	Health	5/31/2007	2/28/2010
Inactive	Non Resident	Agent	Property	11/9/2000	2/28/2010
Inactive	Non Resident	Agent	Life	5/31/2007	2/28/2010
* 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	American Home Assurance Company	300246	Agent - Casualty	8/16/2007	2/28/2010
Inactive	American Home Assurance Company	300246	Agent - Property	8/16/2007	2/28/2010
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	1/11/2003	8/10/2009
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	1/11/2003	8/10/2009
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	11/9/2000	2/28/2010
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	11/9/2000	2/28/2010
Inactive	Northern Assurance Company of America The	301331	Agent - Casualty	10/16/2008	9/1/2009
Inactive	Northern Assurance Company of America The	301331	Agent - Property	10/16/2008	9/1/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Glenlake Insurance Agency Inc. of Kentucky	399379	Agent - Property	6/1/2001	4/11/2002
Inactive	Glenlake Insurance Agency Inc. of Kentucky	399379	Agent - Casualty	6/1/2001	4/11/2002
Inactive	Ups Capital Ins Agency Inc	398341	Agent - Property	6/7/2001	2/28/2010
Inactive	Ups Capital Ins Agency Inc	398341	Agent - Casualty	6/7/2001	2/28/2010
Denied	Ups Capital Ins Agency Inc	398341	Agent - Life
Denied	Ups Capital Ins Agency Inc	398341	Agent - Health