DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mora, Michael Alan	DOIID	1212985	NAIC NPN	20369916

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	6/24/2022		4/30/2027
Active	Non Resident	Agent	Property	6/24/2022		4/30/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	7/21/2022		4/30/2027
* 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	02/15/2025	04/30/2025	02/11/2025	02/11/2025	Yes
Surplus Lines Broker	02/15/2025	04/30/2025	02/11/2025	02/11/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Imperium Insurance Company	300804	Agent - Casualty	2/23/2023
Active	Imperium Insurance Company	300804	Agent - Property	2/23/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Fusion Specialty Americas Insurance Services Llc	1083560	Agent - Casualty	2/27/2023
Active	Fusion Specialty Americas Insurance Services Llc	1083560	Agent - Property	2/27/2023
Active	Fusion Specialty Americas Insurance Services Llc	1083560	Surplus Lines Broker - Not Applicable	10/11/2022
Inactive	IO Insure Americas Insurance Services LLC	1200882	Agent - Casualty	3/13/2024	7/26/2024
Inactive	IO Insure Americas Insurance Services LLC	1200882	Agent - Property	3/13/2024	7/26/2024
Active	IO Insure Americas Insurance Services LLC	1200882	Surplus Lines Broker - Not Applicable	3/13/2024