DEPARTMENT OF INSURANCE

Name	Carroll, Michael	DOIID	849763	NAIC NPN	17357041

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	9/22/2014	7/31/2027
Active	Resident	Agent	Life	9/22/2014	7/31/2027
Active	Resident	Agent	Property	9/12/2014	7/31/2027
Active	Resident	Agent	Casualty	9/12/2014	7/31/2027

*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	05/15/2025	07/31/2025	04/15/2025	04/15/2025	Yes

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	17407 Polo Run Lane Louisville, KY 40245
Residence	Not Public Information

Internet Information

Type	Address
Business Email	M.CARROLL@TWC.COM

Phone Information

Type	Phone
Business / Home Office	(502) 435-9587