DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Black, Michael Carl	DOIID	1226673	NAIC NPN	15519338

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Personal Lines	8/30/2022	1/8/2024
Inactive	Non Resident	Agent	Casualty	12/22/2022	1/8/2024
Inactive	Non Resident	Agent	Property	12/22/2022	1/8/2024
* 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
Inactive	GEICO General Insurance Company	301684	Agent - Casualty	4/19/2023	11/7/2023
Inactive	GEICO General Insurance Company	301684	Agent - Personal Lines	4/19/2023	11/7/2023
Inactive	GEICO General Insurance Company	301684	Agent - Property	4/19/2023	11/7/2023
Inactive	Government Employees Insurance Company	300376	Agent - Personal Lines	9/1/2022	11/7/2023
Inactive	Jewelers Mutual Insurance Company, SI	301935	Agent - Personal Lines	9/13/2022	1/3/2023
Inactive	Midvale Indemnity Company	300292	Agent - Casualty	1/9/2023	3/22/2023
Inactive	Midvale Indemnity Company	300292	Agent - Property	1/9/2023	3/22/2023
Inactive	Wellfleet Insurance Company	300542	Agent - Casualty	1/9/2023	8/2/2023
Inactive	Wellfleet Insurance Company	300542	Agent - Property	1/9/2023	8/2/2023
Inactive	Wellfleet New York Insurance Company	300245	Agent - Casualty	1/9/2023	8/2/2023
Inactive	Wellfleet New York Insurance Company	300245	Agent - Property	1/9/2023	8/2/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Geico Insurance Agency, LLC	558517	Agent - Personal Lines	9/1/2022	4/19/2023
Inactive	Geico Insurance Agency, LLC	558517	Agent - Casualty	4/19/2023	11/7/2023
Inactive	Geico Insurance Agency, LLC	558517	Agent - Property	4/19/2023	11/7/2023