DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Nelson, Michael J	DOIID	677710	NAIC NPN	8747936

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	4/4/2008	4/9/2012
Inactive	Non Resident	Agent	Property	4/4/2008	4/9/2012
Active	Non Resident	Staff Adjuster	Property & Casualty	11/9/2021		7/31/2026
* 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
Staff Adjuster	05/15/2024	07/31/2024	06/06/2024	06/06/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	5/20/2008	10/8/2011
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	5/20/2008	10/8/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Property	5/22/2008	10/6/2011
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Casualty	5/22/2008	10/6/2011