DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bruesewitz, Michelle	DOIID	745045	NAIC NPN	16108776

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	1/3/2012		3/31/2026
Active	Non Resident	Agent	Travel	12/22/2010		3/31/2026
Active	Non Resident	Agent	Health	1/3/2012		3/31/2026
Active	Non Resident	Agent	Property	1/3/2012		3/31/2026
* 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	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	3/19/2012
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	3/19/2012
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	3/19/2012
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Travel	2/28/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Travel Guard Group Inc.	396290	Agent - Travel	3/4/2016