DEPARTMENT OF INSURANCE

Affiliations

Name	Wise, Michael R	DOIID	1364210	NAIC NPN	8178192

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	9/26/2024	2/28/2026
Active	Non Resident	Agent	Property	9/26/2024	2/28/2026
Active	Non Resident	Agent	Life	9/26/2024	2/28/2026
Active	Non Resident	Agent	Health	9/26/2024	2/28/2026
* 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	12/15/2025	02/28/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Allmerica Financial Alliance Insurance Company	300823	Agent - Casualty	3/14/2025
Active	Allmerica Financial Alliance Insurance Company	300823	Agent - Property	3/14/2025
Active	Allmerica Financial Benefit Insurance Company	301223	Agent - Casualty	3/14/2025
Active	Allmerica Financial Benefit Insurance Company	301223	Agent - Property	3/14/2025
Active	American Modern Home Insurance Company	300791	Agent - Casualty	9/26/2024
Active	American Modern Home Insurance Company	300791	Agent - Property	9/26/2024
Active	CMFG Life Insurance Company	300929	Agent - Life	4/10/2025
Active	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	10/23/2024
Active	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	10/23/2024
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	10/23/2024
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Property	10/23/2024
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	10/23/2024
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	10/23/2024
Active	Hanover American Insurance Company (The)	300447	Agent - Casualty	3/14/2025
Active	Hanover American Insurance Company (The)	300447	Agent - Property	3/14/2025
Active	Hanover Insurance Company (The)	300508	Agent - Casualty	3/14/2025
Active	Hanover Insurance Company (The)	300508	Agent - Property	3/14/2025
Active	Horace Mann Life Insurance Company	300852	Agent - Health	10/18/2024
Active	Horace Mann Life Insurance Company	300852	Agent - Life	10/18/2024
Active	MEMBERS Life Insurance Company	301289	Agent - Life	4/10/2025
Active	Massachusetts Bay Insurance Company	300898	Agent - Casualty	3/14/2025
Active	Massachusetts Bay Insurance Company	300898	Agent - Property	3/14/2025
Active	Verlan Fire Insurance Company	517102	Agent - Casualty	3/14/2025
Active	Verlan Fire Insurance Company	517102	Agent - Property	3/14/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Horace Mann Service Corporation	400869	Agent - Casualty	9/26/2024
Active	Horace Mann Service Corporation	400869	Agent - Life	10/18/2024
Active	Horace Mann Service Corporation	400869	Agent - Health	10/18/2024
Active	Horace Mann Service Corporation	400869	Agent - Property	9/26/2024