DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ambrose, Michael J	DOIID	569058	NAIC NPN	575039

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	5/27/2003	9/30/2021
Inactive	Non Resident	Agent	Life	5/27/2003	9/30/2021
Inactive	Non Resident	Agent	Property	10/7/2009	9/30/2021
Inactive	Non Resident	Agent	Casualty	10/7/2009	9/30/2021
Inactive	Non Resident	Agent	Travel	3/10/2017	9/30/2021
* 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	Nationwide Life Insurance Company	300495	Agent - Health	1/5/2011	12/11/2015
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	1/5/2011	12/11/2015
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	11/18/2009	12/11/2015
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	11/18/2009	12/11/2015
Inactive	Old Republic Insurance Company	301225	Agent - Casualty	4/15/2010	6/1/2016
Inactive	Old Republic Insurance Company	301225	Agent - Health	6/22/2007	6/1/2016
Inactive	Old Republic Insurance Company	301225	Agent - Property	4/15/2010	6/1/2016
Inactive	Transamerica Casualty Insurance Company	300311	Agent - Casualty	7/7/2011	3/2/2020
Inactive	Transamerica Casualty Insurance Company	300311	Agent - Property	7/7/2011	3/2/2020
Inactive	Transamerica Casualty Insurance Company	300311	Agent - Travel	3/14/2017	6/12/2020
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	8/16/2017	9/30/2021
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	8/16/2017	9/30/2021
Inactive	United States Fire Insurance Company	582240	Agent - Casualty	3/19/2010	9/30/2021
Inactive	United States Fire Insurance Company	582240	Agent - Property	3/19/2010	9/30/2021
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	2/13/2019	9/30/2021
Inactive	Zurich American Insurance Company	301121	Agent - Property	2/13/2019	9/30/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cover-More Inc	922146	Agent - Travel	1/29/2019	2/19/2021
Inactive	Travelex Ins Services Inc	518502	Agent - Health	6/15/2010	1/27/2021
Inactive	Travelex Ins Services Inc	518502	Agent - Life	6/15/2010	1/27/2021
Inactive	Travelex Ins Services Inc	518502	Agent - Casualty	6/5/2019	1/27/2021
Inactive	Travelex Ins Services Inc	518502	Agent - Property	6/5/2019	1/27/2021
Inactive	Travelex Ins Services Inc	518502	Agent - Travel	3/14/2017	1/27/2021