DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Boehm, Michelle	DOIID	1035524	NAIC NPN	2156621

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	4/5/2019		4/30/2028
Active	Non Resident	Agent	Property	4/5/2019		4/30/2028
Active	Non Resident	Surplus Lines Broker	Not Applicable	4/29/2019		4/30/2028
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AGCS Marine Insurance Company	300403	Agent - Casualty	5/15/2019
Active	AGCS Marine Insurance Company	300403	Agent - Property	5/15/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Casualty	9/17/2025
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Property	5/28/2019
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Surplus Lines Broker - Not Applicable	5/13/2019