DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Marcilliat, Michelle Suzette	DOIID	735452	NAIC NPN	15914645

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	10/4/2010		7/31/2025
Active	Resident	Agent	Life	10/4/2010		7/31/2025
* 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
Active	Transamerica Life Insurance Company	300571	Agent - Health	10/1/2020
Active	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	10/22/2010	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	10/22/2010	10/1/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Insuramax Inc	400061	Agent - Health	5/5/2021
Active	Insuramax Inc	400061	Agent - Life	5/5/2021
Inactive	The Underwriters Group, Inc	674720	Agent - Health	10/22/2010	4/13/2021
Inactive	The Underwriters Group, Inc	674720	Agent - Life	10/22/2010	4/13/2021