DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Zak, Michael Justin	DOIID	961299	NAIC NPN	18481328

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	7/24/2017	3/31/2020
Inactive	Non Resident	Agent	Personal Lines	9/6/2018	3/31/2020
Inactive	Non Resident	Agent	Life	7/24/2017	3/31/2020
* 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	Bristol West Insurance Company	301655	Agent - Personal Lines	2/22/2019	7/9/2019
Inactive	LM General Insurance Company	300133	Agent - Personal Lines	3/12/2019	7/4/2019
Inactive	Liberty Insurance Corporation	300444	Agent - Personal Lines	5/16/2019	7/4/2019
Inactive	Liberty Mutual Personal Insurance Company	959584	Agent - Personal Lines	12/26/2018	7/4/2019
Inactive	Progressive Casualty Insurance Company	300696	Agent - Personal Lines	2/27/2019	8/12/2019
Inactive	USAA Life Insurance Company	300734	Agent - Health	8/3/2017	6/27/2018
Inactive	USAA Life Insurance Company	300734	Agent - Life	8/3/2017	6/27/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USAA Financial Planning Services Ins Agency Inc	579485	Agent - Health	9/8/2017	6/27/2018
Inactive	USAA Financial Planning Services Ins Agency Inc	579485	Agent - Life	9/8/2017	6/27/2018