DEPARTMENT OF INSURANCE

Affiliations

Name	King, Michelle R	DOIID	942754	NAIC NPN	5640167

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	1/23/2017	12/31/2026
Active	Non Resident	Agent	Casualty	1/23/2017	12/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	3/1/2017	12/31/2026
* 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	10/15/2026	12/31/2026
Surplus Lines Broker	10/15/2026	12/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	8/7/2017
Active	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	8/7/2017
Active	Farmington Casualty Company	301137	Agent - Casualty	8/7/2017
Active	Farmington Casualty Company	301137	Agent - Property	8/7/2017
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	8/7/2017	11/30/2017
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	8/7/2017	11/30/2017
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	8/7/2017	11/30/2017
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	8/7/2017	11/30/2017
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	8/7/2017	11/30/2017
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	8/7/2017	11/30/2017
Active	Standard Fire Insurance Company (The)	301068	Agent - Casualty	8/7/2017
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	8/7/2017
Active	The Phoenix Insurance Company	301502	Agent - Casualty	8/7/2017
Active	The Phoenix Insurance Company	301502	Agent - Property	8/7/2017
Active	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	8/7/2017
Active	Travelers Casualty Insurance Company of America	300522	Agent - Property	8/7/2017
Active	Travelers Casualty and Surety Company	301067	Agent - Casualty	8/7/2017
Active	Travelers Casualty and Surety Company	301067	Agent - Property	8/7/2017
Active	Travelers Indemnity Company (The)	301855	Agent - Casualty	8/7/2017
Active	Travelers Indemnity Company (The)	301855	Agent - Property	8/7/2017
Active	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	8/7/2017
Active	Travelers Indemnity Company of America (The)	301093	Agent - Property	8/7/2017
Active	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	8/7/2017
Active	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	8/7/2017
Active	Travelers Property Casualty Company of America	301649	Agent - Casualty	8/7/2017
Active	Travelers Property Casualty Company of America	301649	Agent - Property	8/7/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Amrisc, LLC	1110447	Agent - Property	11/13/2020
Active	Amrisc, LLC	1110447	Agent - Casualty	11/13/2020
Active	Amrisc, LLC	1110447	Surplus Lines Broker - Not Applicable	11/13/2020