DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Tatum, Michael Scott	DOIID	1402128	NAIC NPN	8878271

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	5/27/2025		11/30/2026
Active	Non Resident	Agent	Health	5/27/2025		11/30/2026
Active	Non Resident	Agent	Life	5/27/2025		11/30/2026
Active	Non Resident	Agent	Casualty	5/27/2025		11/30/2026
* 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	09/15/2026	11/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Berkley National Insurance Company	515028	Agent - Casualty	8/14/2025
Active	Berkley National Insurance Company	515028	Agent - Property	8/14/2025
Active	Berkley Regional Insurance Company	300920	Agent - Casualty	8/14/2025
Active	Berkley Regional Insurance Company	300920	Agent - Property	8/14/2025
Active	Standard Insurance Company	300185	Agent - Health	12/29/2025
Active	Standard Insurance Company	300185	Agent - Life	12/29/2025
Active	StarNet Insurance Company	502746	Agent - Casualty	8/14/2025
Active	StarNet Insurance Company	502746	Agent - Property	8/14/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Heritage Risk Management, An Alera Group Agency LLC	1175433	Agent - Casualty	8/14/2025
Active	Heritage Risk Management, An Alera Group Agency LLC	1175433	Agent - Life	4/30/2026
Active	Heritage Risk Management, An Alera Group Agency LLC	1175433	Agent - Health	4/30/2026
Active	Heritage Risk Management, An Alera Group Agency LLC	1175433	Agent - Property	8/14/2025