DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Belanger, Michael David	DOIID	838536	NAIC NPN	4703701

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	4/18/2014		5/31/2025
Active	Non Resident	Agent	Property	4/18/2014		5/31/2025
Active	Non Resident	Agent	Casualty	12/19/2019		5/31/2025
* 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	03/15/2025	05/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Fire and Casualty Company	300567	Agent - Property	8/24/2015	10/15/2021
Active	Arch Insurance Company	300688	Agent - Property	1/13/2017
Active	Atlantic Specialty Insurance Company	518595	Agent - Property	12/10/2014
Inactive	Consolidated Insurance Company	300943	Agent - Property	8/24/2015	4/26/2024
Inactive	Indiana Insurance Company	301909	Agent - Property	8/24/2015	2/3/2023
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	8/24/2015	4/26/2024
Active	Ohio Casualty Insurance Company	301492	Agent - Property	8/24/2015
Inactive	Ohio Security Insurance Company	300622	Agent - Property	8/24/2015	10/15/2021
Active	Peerless Indemnity Insurance Company	571682	Agent - Property	8/24/2015
Active	Peerless Insurance Company	301910	Agent - Property	8/24/2015
Active	West American Insurance Company	301112	Agent - Property	8/24/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Marsh & Mclennan Agency LLC	716460	Agent - Property	5/9/2024
Denied	Marsh & Mclennan Agency LLC	716460	Agent - Health
Denied	Marsh & Mclennan Agency LLC	716460	Agent - Casualty
Active	Querbes & Nelson A Partnership	838905	Agent - Property	3/5/2019
Active	Querbes & Nelson A Partnership	838905	Agent - Health	3/10/2021