DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Kussow, Michelle L	DOIID	634947	NAIC NPN	652758

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	6/27/2006		3/31/2027
Active	Non Resident	Agent	Casualty	6/27/2006		3/31/2027
* 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 Connect Property and Casualty Insurance Company	622403	Agent - Casualty	7/11/2006	5/11/2026
Inactive	American Family Connect Property and Casualty Insurance Company	622403	Agent - Property	7/11/2006	5/11/2026
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	8/23/2021	7/24/2026
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Property	8/23/2021	7/24/2026
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	11/11/2019	7/21/2026
Inactive	Bristol West Insurance Company	301655	Agent - Property	11/11/2019	7/21/2026
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/11/2019	7/21/2026
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/11/2019	7/21/2026
Inactive	Homesite Insurance Company	301139	Agent - Casualty	11/12/2019	5/11/2026
Inactive	Homesite Insurance Company	301139	Agent - Property	11/12/2019	5/11/2026
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	11/12/2019	5/11/2026
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Property	11/12/2019	5/11/2026
Inactive	Midvale Indemnity Company	300292	Agent - Casualty	11/12/2019	5/11/2026
Inactive	Midvale Indemnity Company	300292	Agent - Property	11/12/2019	5/11/2026
Inactive	Permanent General Assurance Corporation of Ohio	709250	Agent - Casualty	12/20/2023	8/19/2024
Inactive	RLI Insurance Company	301217	Agent - Casualty	9/1/2020	6/3/2025
Inactive	RLI Insurance Company	301217	Agent - Property	9/1/2020	6/3/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Connect Insurance Agency, Inc.	619157	Agent - Casualty	11/5/2019	7/24/2026
Inactive	American Family Connect Insurance Agency, Inc.	619157	Agent - Property	11/5/2019	7/24/2026
Inactive	General Automobile Ins Services Inc	706632	Agent - Casualty	12/27/2023	9/13/2024