DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ballard, Michael	DOIID	811141	NAIC NPN	16969453

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	5/29/2013	2/5/2016
Inactive	Non Resident	Agent	Property	5/29/2013	2/5/2016
* 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	Esurance Insurance Company	301072	Agent - Casualty	6/17/2015	8/6/2015
Inactive	Esurance Insurance Company	301072	Agent - Property	6/17/2015	8/6/2015
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	6/16/2015	8/7/2015
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	6/16/2015	8/7/2015
Inactive	LM General Insurance Company	300133	Agent - Casualty	6/16/2015	8/7/2015
Inactive	LM General Insurance Company	300133	Agent - Property	6/16/2015	8/7/2015
Inactive	LM Insurance Corporation	301061	Agent - Casualty	6/16/2015	8/7/2015
Inactive	LM Insurance Corporation	301061	Agent - Property	6/16/2015	8/7/2015
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	6/16/2015	8/7/2015
Inactive	Liberty Insurance Corporation	300444	Agent - Property	6/16/2015	8/7/2015
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	6/16/2015	8/7/2015
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	6/16/2015	8/7/2015
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	6/16/2015	8/7/2015
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	6/16/2015	8/7/2015
Inactive	Progressive Direct Insurance Company	301379	Agent - Casualty	5/30/2013	5/5/2015
Inactive	Progressive Direct Insurance Company	301379	Agent - Property	5/30/2013	5/5/2015
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	6/18/2015	8/7/2015
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	6/18/2015	8/7/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Paul Moss Insurance Agency LLC	833857	Agent - Property	6/16/2015	8/4/2015
Inactive	Paul Moss Insurance Agency LLC	833857	Agent - Casualty	6/16/2015	8/4/2015
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Property	6/3/2013	5/5/2015
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	6/3/2013	5/5/2015