DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gill, Michael Joseph	DOIID	633595	NAIC NPN	1284538

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	6/20/2006		9/30/2024
Active	Non Resident	Agent	Property	6/20/2006		9/30/2024
Active	Non Resident	Surplus Lines Broker	Not Applicable	2/24/2016		9/30/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	07/15/2024	09/30/2024
Surplus Lines Broker	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Blackboard Insurance Company	301640	Agent - Casualty	3/11/2016	4/30/2019
Inactive	Blackboard Insurance Company	301640	Agent - Property	3/11/2016	4/30/2019
Active	Continental Casualty Company	301019	Agent - Casualty	9/2/2010
Active	Continental Casualty Company	301019	Agent - Property	9/2/2010
Active	Mount Vernon Fire Insurance Company	301397	Agent - Casualty	7/10/2013
Active	Mount Vernon Fire Insurance Company	301397	Agent - Property	7/10/2013
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Casualty	4/19/2022
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Property	4/19/2022
Active	Starr Indemnity and Liability Company	301685	Agent - Casualty	12/11/2019
Active	Starr Indemnity and Liability Company	301685	Agent - Property	12/11/2019
Inactive	Westport Insurance Corporation	300448	Agent - Casualty	6/29/2006	12/5/2007
Inactive	Westport Insurance Corporation	300448	Agent - Property	6/29/2006	12/5/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	CBIZ Ins Services Inc	515291	Agent - Casualty	9/2/2010
Active	CBIZ Ins Services Inc	515291	Agent - Property	9/2/2010
Active	CBIZ Ins Services Inc	515291	Surplus Lines Broker - Not Applicable	4/6/2016