DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Douglas, Megan	DOIID	996464	NAIC NPN	15854803

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	6/4/2018		11/30/2026
Active	Non Resident	Agent	Casualty	6/4/2018		11/30/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	6/4/2018		11/30/2026
* 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	09/15/2026	11/30/2026
Surplus Lines Broker	09/15/2026	11/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Zurich American Insurance Company	301121	Agent - Casualty	6/15/2018
Active	Zurich American Insurance Company	301121	Agent - Property	6/15/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Gallagher Brokerage & Insurance Solutions, Inc.	544186	Agent - Property	9/6/2019
Active	Gallagher Brokerage & Insurance Solutions, Inc.	544186	Agent - Casualty	9/6/2019
Active	Gallagher Brokerage & Insurance Solutions, Inc.	544186	Surplus Lines Broker - Not Applicable	9/6/2019
Inactive	Willis Of Oregon Inc	523955	Agent - Property	6/22/2018	1/13/2020
Inactive	Willis Of Oregon Inc	523955	Agent - Casualty	6/22/2018	1/13/2020
Inactive	Willis Of Oregon Inc	523955	Surplus Lines Broker - Not Applicable	6/22/2018	7/8/2020