DEPARTMENT OF INSURANCE

Name	Michelson, Richard M	DOIID	305251	NAIC NPN	3784254

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Adjuster	Independent	7/6/2004	2/19/2007
Active	Resident	Agent	Life	7/31/2006		5/31/2026
Active	Resident	Agent	Casualty	7/31/2006		5/31/2026
Active	Resident	Agent	Health	7/31/2006		5/31/2026
Active	Resident	Agent	Property	7/31/2006		5/31/2026
Inactive	Resident	Agent	General Lines	4/30/1993	8/15/2000
Active	Resident	Property & Casualty Consultant	Not Applicable	10/6/2020		5/31/2026
Active	Resident	Public Adjuster	Property & Casualty	9/8/2010		5/31/2026
Inactive	Resident	Surplus Lines Broker	Not Applicable	5/3/2017	5/31/2020

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

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
Residence	Not Public Information
Business / Home Office	1708 Rosewood Ave Louisville, KY 402041330

Phone Information

Type	Phone
Business / Home Office	(502) 299-2631