DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Michaelson, Evan	DOIID	595093	NAIC NPN	7148016

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	8/13/2009		4/30/2025
Active	Non Resident	Agent	Casualty	8/13/2009		4/30/2025
Active	Non Resident	Agent	Property	8/13/2009		4/30/2025
Active	Non Resident	Agent	Health	8/13/2009		4/30/2025
* 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	Metropolitan Life Insurance Company	301948	Agent - Health	9/21/2004	4/30/2005
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	9/21/2004	4/30/2005
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	3/2/2010	12/4/2015
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	3/2/2010	12/4/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mercer Health & Benefits Administration Llc	656414	Agent - Property	1/13/2014	12/4/2015
Inactive	Mercer Health & Benefits Administration Llc	656414	Agent - Casualty	1/13/2014	12/4/2015
Denied	Seabury & Smith Inc	394854	Agent - Health
Denied	Seabury & Smith Inc	394854	Agent - Life
Inactive	Seabury & Smith Inc	394854	Agent - Property	3/2/2010	4/8/2014
Inactive	Seabury & Smith Inc	394854	Agent - Casualty	3/2/2010	4/8/2014