DEPARTMENT OF INSURANCE

Name	Lachance, Michael D	DOIID	362340	NAIC NPN	3680409

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Administrator	Not Applicable	12/31/1998	3/29/2004
Inactive	Non Resident	Agent	Life	4/1/2015	9/30/2020
Inactive	Non Resident	Agent	Health	4/1/2015	9/30/2020

*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
Business / Home Office	16220 N Scottsdale Rd Ste 600 Scottsdale, AZ 852541804
Residence	Not Public Information

Internet Information

Type	Address
Business Email	Mike.Lachance@WillisTowersWatson.com

Phone Information

Type	Phone
Business / Home Office	(207) 523-1140