DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gorham, Michael	DOIID	995063	NAIC NPN	8348231

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	5/22/2018		6/30/2026
Active	Non Resident	Agent	Casualty	5/22/2018		6/30/2026
* 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	04/15/2024	06/30/2024	04/09/2024	04/09/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Economy Insurance Company	300315	Agent - Casualty	1/27/2021	5/27/2022
Inactive	American Economy Insurance Company	300315	Agent - Property	1/27/2021	5/27/2022
Active	American Family Home Insurance Company	301817	Agent - Casualty	5/19/2021
Active	American Family Home Insurance Company	301817	Agent - Property	5/19/2021
Active	Independence American Insurance Company	524747	Agent - Casualty	11/6/2023
Active	Independence American Insurance Company	524747	Agent - Property	11/6/2023
Active	Mitsui Sumitomo Insurance Company of America	301070	Agent - Casualty	2/9/2021
Active	Mitsui Sumitomo Insurance Company of America	301070	Agent - Property	2/9/2021
Active	Mitsui Sumitomo Insurance USA Inc.	301681	Agent - Casualty	2/9/2021
Active	Mitsui Sumitomo Insurance USA Inc.	301681	Agent - Property	2/9/2021
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	6/20/2018
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	6/20/2018
Active	Privilege Underwriters Reciprocal Exchange	769657	Agent - Casualty	8/21/2018
Active	Privilege Underwriters Reciprocal Exchange	769657	Agent - Property	8/21/2018
Active	United States Fire Insurance Company	582240	Agent - Casualty	4/4/2023
Active	United States Fire Insurance Company	582240	Agent - Property	4/4/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Brown & Brown Insurance Services Inc	637940	Agent - Property	6/20/2018
Active	Brown & Brown Insurance Services Inc	637940	Agent - Casualty	6/20/2018