DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Ward, Michelle	DOIID	641223	NAIC NPN	8871794

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	5/24/2024		12/31/2025
Active	Non Resident	Agent	Property	5/24/2024		12/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	5/24/2024		12/31/2025
* 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	10/15/2025	12/31/2025
Surplus Lines Broker	10/15/2025	12/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Zurich American Insurance Company	301121	Agent - Casualty	6/14/2024
Active	Zurich American Insurance Company	301121	Agent - Property	6/14/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Willis Towers Watson Insurance Services West Inc	538729	Agent - Casualty	6/21/2024
Active	Willis Towers Watson Insurance Services West Inc	538729	Agent - Property	6/21/2024
Active	Willis Towers Watson Insurance Services West Inc	538729	Surplus Lines Broker - Not Applicable	6/21/2024