DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Escriba, Michael	DOIID	866219	NAIC NPN	17477728

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	5/15/2018	5/14/2019
Inactive	Non Resident	Agent	Property	5/15/2018	5/14/2019
Inactive	Non Resident	Agent	Personal Lines	1/20/2015	11/30/2016
* 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	Nationwide Mutual Insurance Company	301749	Agent - Personal Lines	1/27/2015	12/30/2015
Inactive	United Services Automobile Association	300158	Agent - Casualty	5/21/2018	8/21/2018
Inactive	United Services Automobile Association	300158	Agent - Property	5/21/2018	8/21/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Personal Lines	2/3/2015	12/30/2015
Inactive	USAA Financial Planning Services Ins Agency Inc	579485	Agent - Property	8/7/2018	8/19/2018
Inactive	USAA Financial Planning Services Ins Agency Inc	579485	Agent - Casualty	8/7/2018	8/19/2018