DEPARTMENT OF INSURANCE

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.

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
Pending	Marsh & Mclennan Agency LLC	716460	Agent - Health
Pending	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