DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Scott, Michelle Christine	DOIID	801183	NAIC NPN	2488703

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	1/11/2013		3/31/2026
Active	Non Resident	Agent	Casualty	1/11/2013		3/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	1/31/2013		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	Arch Insurance Company	300688	Agent - Casualty	5/31/2021
Active	Arch Insurance Company	300688	Agent - Property	5/31/2021
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	1/5/2016	4/17/2024
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	1/5/2016	4/17/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	HUB International Midwest Limited	398717	Agent - Property	1/5/2016
Active	HUB International Midwest Limited	398717	Agent - Casualty	1/5/2016
Active	HUB International Midwest Limited	398717	Surplus Lines Broker - Not Applicable	11/20/2015
Inactive	Willis Of Florida Inc	652212	Agent - Property	1/5/2016	12/30/2019
Inactive	Willis Of Florida Inc	652212	Agent - Casualty	1/5/2016	12/30/2019
Inactive	Willis Of Florida Inc	652212	Surplus Lines Broker - Not Applicable	10/16/2014	7/8/2020