DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Erlbacher, Mickey Jean	DOIID	677007	NAIC NPN	5935667

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	3/25/2008	10/31/2021
Inactive	Non Resident	Agent	Casualty	3/25/2008	10/31/2021
* 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	ACE American Insurance Company	300625	Agent - Casualty	4/18/2009	10/31/2021
Inactive	ACE American Insurance Company	300625	Agent - Property	4/18/2009	10/31/2021
Inactive	Arch Insurance Company	300688	Agent - Casualty	5/22/2014	4/11/2016
Inactive	Arch Insurance Company	300688	Agent - Property	5/22/2014	4/11/2016
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	2/21/2014	10/31/2021
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	2/21/2014	10/31/2021
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	4/25/2008	8/16/2016
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	4/25/2008	8/16/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Tis Ins Services Inc	523150	Agent - Property	3/11/2020	7/31/2020
Inactive	Tis Ins Services Inc	523150	Agent - Casualty	3/11/2020	7/31/2020
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	1/11/2010	5/7/2014
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	1/11/2010	5/7/2014
Inactive	Usi Insurance Services LLC	669260	Agent - Property	6/5/2014	7/19/2016
Inactive	Usi Insurance Services LLC	669260	Agent - Casualty	6/5/2014	7/19/2016
Inactive	Wells Fargo Insurance Services of Tennessee, Inc.	519364	Agent - Property	5/12/2008	3/2/2010
Inactive	Wells Fargo Insurance Services of Tennessee, Inc.	519364	Agent - Casualty	5/12/2008	3/2/2010