DEPARTMENT OF INSURANCE
Affiliations
NameTrevino, Michael DOIID855024NAIC NPN15903075
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth10/6/2014 9/30/2024
ActiveNon ResidentAgentLife10/6/2014 9/30/2024
ActiveNon ResidentAgentCasualty7/14/2016 9/30/2024
ActiveNon ResidentAgentProperty7/14/2016 9/30/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent07/15/202409/30/2024   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveContinental American Insurance Company301700Agent - Health10/9/2014 
ActiveContinental American Insurance Company301700Agent - Life10/9/2014 
ActiveHartford Insurance Company of the Southeast1014204Agent - Casualty8/18/2022 
ActiveHartford Insurance Company of the Southeast1014204Agent - Property8/18/2022 
ActiveNCMIC Insurance Company301007Agent - Casualty5/24/2022 
ActiveNCMIC Insurance Company301007Agent - Property5/24/2022 
InactiveNational Casualty Company301483Agent - Casualty9/8/20169/22/2021
InactiveNational Casualty Company301483Agent - Property9/8/20169/22/2021
ActiveProfessional Solutions Insurance Company569414Agent - Casualty5/24/2022 
ActiveProfessional Solutions Insurance Company569414Agent - Property5/24/2022 
InactiveProvident Life and Accident Insurance Company301525Agent - Health2/6/20159/23/2019
InactiveProvident Life and Accident Insurance Company301525Agent - Life2/6/20159/23/2019
InactiveReliaStar Life Insurance Company301712Agent - Health11/7/201412/18/2020
InactiveReliaStar Life Insurance Company301712Agent - Life11/7/201412/18/2020
ActiveSelective Insurance Company of America500018Agent - Casualty3/30/2023 
ActiveSelective Insurance Company of America500018Agent - Property3/30/2023 
ActiveSelective Insurance Company of South Carolina500012Agent - Casualty3/30/2023 
ActiveSelective Insurance Company of South Carolina500012Agent - Property3/30/2023 
ActiveSelective Insurance Company of the Southeast300381Agent - Casualty3/30/2023 
ActiveSelective Insurance Company of the Southeast300381Agent - Property3/30/2023 
InactiveUNUM Life Insurance Company of America300817Agent - Health2/6/20159/23/2019
InactiveUNUM Life Insurance Company of America300817Agent - Life2/6/20159/23/2019
InactiveUnitrin Direct Property & Casualty Company637443Agent - Casualty9/11/202010/2/2023
InactiveUnitrin Direct Property & Casualty Company637443Agent - Property9/11/202010/2/2023
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveDVM Insurance Agency636779Agent - Property9/19/2022 
ActiveDVM Insurance Agency636779Agent - Casualty9/19/2022 
ActiveMercer Health & Benefits Administration LLC656414Agent - Health1/15/2019 
ActiveMercer Health & Benefits Administration LLC656414Agent - Life1/15/2019 
ActiveMercer Health & Benefits Administration LLC656414Agent - Property9/19/2022 
ActiveMercer Health & Benefits Administration LLC656414Agent - Casualty9/19/2022 
ActiveNCMIC Insurance Services, Inc.399052Agent - Health8/18/2022 
ActiveNCMIC Insurance Services, Inc.399052Agent - Life8/18/2022 
ActiveNCMIC Insurance Services, Inc.399052Agent - Property8/18/2022 
ActiveNCMIC Insurance Services, Inc.399052Agent - Casualty8/18/2022 
ActiveProfessional Solutions Insurance Services, Inc631015Agent - Property8/18/2022 
ActiveProfessional Solutions Insurance Services, Inc631015Agent - Casualty8/18/2022 

© Commonwealth of Kentucky. All rights reserved.