DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Michael, Kami L	DOIID	621383	NAIC NPN	3946988

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	12/6/2005	4/30/2012
Inactive	Non Resident	Agent	Property	12/6/2005	4/30/2012
* 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	Encompass Indemnity Company	546376	Agent - Casualty	12/15/2005	7/1/2008
Inactive	Encompass Indemnity Company	546376	Agent - Property	12/15/2005	7/1/2008
Inactive	Essentia Insurance Company	300342	Agent - Casualty	6/4/2008	4/30/2012
Inactive	Essentia Insurance Company	300342	Agent - Property	6/4/2008	4/30/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hagerty Ins Agency LLC	541031	Agent - Casualty	2/2/2007	4/30/2012
Inactive	Hagerty Ins Agency LLC	541031	Agent - Property	2/2/2007	4/30/2012