DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Workman Jr, Michael Jay	DOIID	753940	NAIC NPN	16220978

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Health
Inactive	Resident	Agent	Life	6/5/2012	7/1/2013
Inactive	Resident	Apprentice Adjuster	Not Applicable	5/6/2013	9/27/2013
Inactive	Resident	Independent Adjuster	Property & Casualty	9/27/2013	4/25/2016
Active	Resident	Staff Adjuster	Property & Casualty	4/25/2016		6/30/2025
* 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
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Life	6/8/2012	9/20/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Crawford & Company	401229	Independent Adjuster - Property & Casualty	10/3/2013	4/25/2016

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	McCann, Jeffrey E	582164	Apprentice Adjuster - Not Applicable	5/6/2013	9/27/2013