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	Life	5/27/2025		11/30/2026
Active	Non Resident	Agent	Casualty	5/27/2025		11/30/2026
Active	Non Resident	Agent	Health	5/27/2025		11/30/2026
Active	Non Resident	Agent	Property	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.

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	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
Pending	Heritage Risk Management, An Alera Group Agency LLC	1175433	Agent - Life
Pending	Heritage Risk Management, An Alera Group Agency LLC	1175433	Agent - Health
Active	Heritage Risk Management, An Alera Group Agency LLC	1175433	Agent - Property	8/14/2025