DEPARTMENT OF INSURANCE

Affiliations

Name	Cannon, Michael D	DOIID	555403	NAIC NPN	4874642

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	9/11/2002	1/31/2026
Active	Non Resident	Agent	Property	9/11/2002	1/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	9/27/2011	1/31/2026
* 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	Arrowood Indemnity Company	300144	Agent - Casualty	12/31/2004	7/26/2007
Inactive	Arrowood Indemnity Company	300144	Agent - Property	12/31/2004	7/26/2007
Inactive	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	11/27/2021	11/27/2021
Inactive	Connecticut Indemnity Company (The)	301062	Agent - Casualty	9/11/2002	12/31/2004
Inactive	Connecticut Indemnity Company (The)	301062	Agent - Property	9/11/2002	12/31/2004
Active	Employers Insurance Company of Wausau	301813	Agent - Casualty	12/3/2010
Active	Employers Insurance Company of Wausau	301813	Agent - Property	12/3/2010
Inactive	Fire and Casualty Insurance Company of Connecticut (The)	301592	Agent - Casualty	9/11/2002	12/31/2004
Inactive	Fire and Casualty Insurance Company of Connecticut (The)	301592	Agent - Property	9/11/2002	12/31/2004
Active	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	12/3/2010
Active	First Liberty Insurance Corporation (The)	301060	Agent - Property	12/3/2010
Active	LM Insurance Corporation	301061	Agent - Casualty	12/3/2010
Active	LM Insurance Corporation	301061	Agent - Property	12/3/2010
Active	Liberty Insurance Corporation	300444	Agent - Casualty	12/3/2010
Active	Liberty Insurance Corporation	300444	Agent - Property	12/3/2010
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	12/3/2010
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Property	12/3/2010
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	12/3/2010
Active	Liberty Mutual Insurance Company	301159	Agent - Property	12/3/2010
Inactive	NorthStone Insurance Company	818905	Agent - Casualty	11/27/2021	11/27/2021
Inactive	Phoenix Assurance Company of New York	300138	Agent - Casualty	9/11/2002	12/31/2004
Inactive	Phoenix Assurance Company of New York	300138	Agent - Property	9/11/2002	12/31/2004
Inactive	PinnaclePoint Insurance Company	819085	Agent - Casualty	11/27/2021	11/27/2021
Inactive	Security Insurance Company of Hartford	300973	Agent - Casualty	9/11/2002	7/26/2007
Inactive	Security Insurance Company of Hartford	300973	Agent - Property	9/11/2002	7/26/2007
Inactive	SummitPoint Insurance Company	819084	Agent - Casualty	11/27/2021	11/27/2021
Inactive	Underwriters at Lloyd's, London	300658	Agent - Casualty	7/29/2013	12/14/2023
Inactive	Underwriters at Lloyd's, London	300658	Agent - Property	7/29/2013	12/14/2023
Inactive	Wausau Business Insurance Company	301476	Agent - Casualty	12/3/2010	3/31/2015
Inactive	Wausau Business Insurance Company	301476	Agent - Property	12/3/2010	3/31/2015
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Casualty	12/3/2010	5/9/2024
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Property	12/3/2010	5/9/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arthur J Gallagher & Co. - Kansas City	502111	Agent - Casualty	2/27/2003	3/10/2006
Inactive	Arthur J Gallagher & Co. - Kansas City	502111	Agent - Property	2/27/2003	3/10/2006
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Casualty	12/3/2010
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Property	12/3/2010
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Surplus Lines Broker - Not Applicable	11/30/2011