DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Michelson Ins Group Inc	DOIID	811576	NAIC NPN	15399929

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Non Resident	Agent	Personal Lines
Inactive	Resident	Agent	Life	6/11/2018	3/31/2021
Inactive	Resident	Agent	Health	6/11/2018	3/31/2021
Inactive	Resident	Agent	Property	6/4/2013	3/31/2021
Inactive	Resident	Agent	Casualty	6/4/2013	3/31/2021
* 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	AmGUARD Insurance Company	500010	Agent - Casualty	7/11/2017	2/18/2020
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	6/14/2018	3/31/2021
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	6/14/2018	3/31/2021
Inactive	NorGUARD Insurance Company	500015	Agent - Casualty	7/11/2017	2/18/2020
Inactive	Principal National Life Insurance Company	301926	Agent - Life	5/9/2019	3/31/2021
Inactive	Pruco Life Insurance Company	300954	Agent - Life	8/10/2018	3/31/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Michelson, Richard M	305251	Agent - Casualty	6/4/2013	3/31/2021
Inactive	Michelson, Richard M	305251	Agent - Health	6/11/2018	3/31/2021
Inactive	Michelson, Richard M	305251	Agent - Life	6/11/2018	3/31/2021
Inactive	Michelson, Richard M	305251	Agent - Property	6/4/2013	3/31/2021