DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Borman, Michelle Renae	DOIID	538872	NAIC NPN	5782813

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Property	12/22/2008	1/31/2011
Inactive	Resident	Agent	Casualty	10/7/2008	11/5/2010
* 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	Safe Auto Insurance Company	300419	Agent - Casualty	10/7/2008	11/5/2010
Inactive	Safe Auto Insurance Company	300419	Agent - Property	9/15/2009	1/31/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Safe Auto Group Agency Inc	557065	Agent - Casualty	10/7/2008	11/5/2010