DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Rose, Michael R	DOIID	752175	NAIC NPN	8585190

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	9/11/2024		3/31/2025
Active	Non Resident	Agent	Health	9/11/2024		3/31/2025
Active	Non Resident	Agent	Casualty	4/15/2011		3/31/2025
Active	Non Resident	Agent	Property	4/15/2011		3/31/2025
* 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
Agent	01/15/2025	03/31/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Aon Risk Services Northeast Inc	503768	Agent - Casualty
Denied	Aon Risk Services Northeast Inc	503768	Agent - Property