DEPARTMENT OF INSURANCE

Name	Insential, Inc. DBA : MIC Insurance Group	DOIID	655553	NAIC NPN	9128311

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	12/27/2007	3/31/2025
Active	Non Resident	Agent	Casualty	12/27/2007	3/31/2025
Active	Non Resident	Agent	Health	6/19/2013	3/31/2025
Active	Non Resident	Agent	Life	6/19/2013	3/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	4/19/2012	3/31/2025

*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	01/15/2025	03/31/2025
Surplus Lines Broker	01/15/2025	03/31/2025

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.

Address Information

Type	Address
Business / Home Office	4350 Weaver Parkway Warrenville, IL 60555

Internet Information

Type	Address
Business Email	kathy.kelleysmith@assuredpartners.com
Internet	www.insential.com
Business Email	kathy.kelleysmith@assuredpartners.com

Phone Information

Type	Phone
Business / Home Office	(888) 571-6160