DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Nielson, Michelle	DOIID	727622	NAIC NPN	11157932

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	5/3/2010	10/31/2015
Inactive	Non Resident	Agent	Property	5/3/2010	10/31/2015
* 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	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	6/15/2010	10/31/2015
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	6/15/2010	10/31/2015
Inactive	LM General Insurance Company	300133	Agent - Casualty	6/15/2010	10/31/2015
Inactive	LM General Insurance Company	300133	Agent - Property	6/15/2010	10/31/2015
Inactive	LM Insurance Corporation	301061	Agent - Casualty	6/15/2010	10/31/2015
Inactive	LM Insurance Corporation	301061	Agent - Property	6/15/2010	10/31/2015
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	6/15/2010	10/31/2015
Inactive	Liberty Insurance Corporation	300444	Agent - Property	6/15/2010	10/31/2015
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	6/15/2010	10/31/2015
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	6/15/2010	10/31/2015
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	6/15/2010	10/31/2015
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	6/15/2010	10/31/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mercer Health & Benefits Administration Llc	656414	Agent - Property	1/23/2014	10/31/2015
Inactive	Mercer Health & Benefits Administration Llc	656414	Agent - Casualty	1/23/2014	10/31/2015
Inactive	Seabury & Smith Inc	394854	Agent - Property	7/19/2010	4/10/2014
Inactive	Seabury & Smith Inc	394854	Agent - Casualty	7/19/2010	4/10/2014