DEPARTMENT OF INSURANCE
Affiliations
NameHarris, Michael MDOIID721740NAIC NPN14290404
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentIndependent AdjusterWorkers' Compensation1/25/2010 10/31/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Independent Adjuster08/15/202410/31/2024   
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveSedgwick Claims Management Service Inc401194Independent Adjuster - Workers' Compensation11/20/2012 
InactiveSpecialty Risk Services LLC596363Independent Adjuster - Workers' Compensation2/12/201011/19/2012

© Commonwealth of Kentucky. All rights reserved.