DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Miksch, Michelle	DOIID	611176	NAIC NPN	3531965

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	6/30/2005	10/31/2007
Inactive	Non Resident	Agent	Casualty	6/30/2005	10/31/2007
* 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 Family Home Insurance Company	301817	Agent - Casualty	8/24/2005	10/31/2007
Inactive	American Family Home Insurance Company	301817	Agent - Property	8/24/2005	10/31/2007
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	8/24/2005	10/31/2007
Inactive	American Modern Home Insurance Company	300791	Agent - Property	8/24/2005	10/31/2007
Inactive	National Interstate Insurance Company	301301	Agent - Casualty	8/14/2006	4/5/2007
Inactive	National Interstate Insurance Company	301301	Agent - Property	8/14/2006	4/5/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AIS Insurance Agency, Inc.	518334	Agent - Property	7/17/2006	10/31/2007
Inactive	AIS Insurance Agency, Inc.	518334	Agent - Casualty	7/17/2006	10/31/2007