DEPARTMENT OF INSURANCE

Affiliations

Name	Michelson, Richard M	DOIID	305251	NAIC NPN	3784254

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Adjuster	Independent	7/6/2004	2/19/2007
Active	Resident	Agent	Life	7/31/2006		5/31/2026
Active	Resident	Agent	Property	7/31/2006		5/31/2026
Active	Resident	Agent	Casualty	7/31/2006		5/31/2026
Active	Resident	Agent	Health	7/31/2006		5/31/2026
Inactive	Resident	Agent	General Lines	4/30/1993	8/15/2000
Active	Resident	Property & Casualty Consultant	Not Applicable	10/6/2020		5/31/2026
Active	Resident	Public Adjuster	Property & Casualty	9/8/2010		5/31/2026
Inactive	Resident	Surplus Lines Broker	Not Applicable	5/3/2017	5/31/2020
* 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
Agent	03/15/2026	05/31/2026
Property & Casualty Consultant	03/15/2026	05/31/2026
Public Adjuster	03/15/2026	05/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AmGUARD Insurance Company	500010	Agent - Casualty	1/23/2019	2/18/2020
Inactive	AmGUARD Insurance Company	500010	Agent - Property	1/23/2019	2/18/2020
Inactive	AmTrust Insurance Company	300179	Agent - Casualty	7/27/2001	3/11/2002
Inactive	AmTrust Insurance Company	300179	Agent - Property	7/27/2001	3/11/2002
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - General Lines	2/3/1997	12/30/1999
Inactive	American Economy Insurance Company	300315	Agent - General Lines	5/10/1994	6/28/2000
Active	American Home Assurance Company	300246	Agent - Casualty	4/13/2007
Active	American Home Assurance Company	300246	Agent - Property	4/13/2007
Inactive	American States Insurance Company	301230	Agent - General Lines	5/10/1994	6/28/2000
Inactive	American States Preferred Insurance Company	300609	Agent - General Lines	5/10/1994	6/28/2000
Inactive	American United Life Insurance Company	300498	Agent - Health	11/29/1990	2/8/1996
Inactive	American United Life Insurance Company	300498	Agent - Life	11/29/1990	2/8/1996
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/12/1999	3/11/2002
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/12/1999	3/11/2002
Inactive	Assurance Company of America	300432	Agent - Casualty	8/15/2000	3/11/2002
Inactive	Assurance Company of America	300432	Agent - General Lines	12/27/1999	8/15/2000
Inactive	Assurance Company of America	300432	Agent - Property	8/15/2000	3/11/2002
Denied	Banner Life Insurance Company	301696	Agent - Life
Inactive	Bedivere Insurance Company	300710	Agent - Casualty	8/15/2000	3/11/2002
Inactive	Bedivere Insurance Company	300710	Agent - General Lines	8/9/1996	8/15/2000
Inactive	Bedivere Insurance Company	300710	Agent - Property	8/15/2000	3/11/2002
Inactive	Berkshire Life Insurance Company	301158	Agent - Life	10/19/2000	7/1/2001
Inactive	Buckeye Union Insurance Company (The)	300597	Agent - General Lines	4/25/1997	3/31/1998
Inactive	CastlePoint National Insurance Company	300082	Agent - Casualty	8/15/2000	3/11/2002
Inactive	CastlePoint National Insurance Company	300082	Agent - General Lines	8/9/1996	8/15/2000
Inactive	CastlePoint National Insurance Company	300082	Agent - Property	8/15/2000	3/11/2002
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	1/8/2003	7/1/2006
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	12/19/2002	7/1/2006
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Life	2/2/2024
Inactive	Clarica Life Insurance Company - U.S.	300207	Agent - Health	7/28/1992	3/31/1997
Inactive	Clarica Life Insurance Company - U.S.	300207	Agent - Life	7/28/1992	3/31/1997
Active	Commerce and Industry Insurance Company	300881	Agent - Casualty	4/13/2007
Active	Commerce and Industry Insurance Company	300881	Agent - Property	4/13/2007
Inactive	Commercial Insurance Company of Newark, New Jersey	300328	Agent - General Lines	2/3/1997	3/31/1998
Inactive	Continental Casualty Company	301019	Agent - Casualty	8/15/2000	8/6/2001
Inactive	Continental Casualty Company	301019	Agent - General Lines	6/5/2000	8/15/2000
Inactive	Continental Casualty Company	301019	Agent - Property	8/15/2000	8/6/2001
Inactive	Continental Insurance Company (The)	301242	Agent - Casualty	8/15/2000	12/27/2001
Inactive	Continental Insurance Company (The)	301242	Agent - General Lines	1/31/1997	8/15/2000
Inactive	Continental Insurance Company (The)	301242	Agent - Property	8/15/2000	12/27/2001
Inactive	Fidelity and Casualty Company of New York (The)	300160	Agent - General Lines	2/1/1997	12/30/1999
Inactive	First National Insurance Company of America	301690	Agent - General Lines	11/1/1998	6/28/2000
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	10/27/2000	3/11/2002
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	10/27/2000	3/11/2002
Inactive	General Insurance Company of America	300261	Agent - General Lines	11/1/1998	6/28/2000
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	8/15/2000	3/11/2002
Inactive	Glatfelter Insurance Company	301640	Agent - General Lines	12/27/1999	8/15/2000
Inactive	Glatfelter Insurance Company	301640	Agent - Property	8/15/2000	3/11/2002
Inactive	Glens Falls Insurance Company (The)	301922	Agent - General Lines	2/3/1997	12/30/1999
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	7/1/2001	7/1/2002
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/21/2006	11/20/2009
Inactive	Humana Insurance Company	301104	Agent - Health	12/21/2006	11/20/2009
Inactive	Humana Insurance Company	301104	Agent - Life	12/21/2006	11/20/2009
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/21/2006	11/20/2009
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	12/21/2006	11/20/2009
Inactive	Indianapolis Life Insurance Company	301381	Agent - Health	5/8/1991	12/30/1996
Inactive	Indianapolis Life Insurance Company	301381	Agent - Life	5/8/1991	12/30/1996
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Casualty	4/13/2007
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Property	4/13/2007
Inactive	John Alden Life Insurance Company	300573	Agent - Health	7/11/1991	10/31/1996
Inactive	John Alden Life Insurance Company	300573	Agent - Life	7/11/1991	10/31/1996
Inactive	Kansas City Fire and Marine Insurance Company	301936	Agent - General Lines	2/4/1997	12/30/1999
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	6/11/2018	8/23/2021
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	6/11/2018	8/23/2021
Inactive	Maryland Casualty Company	301719	Agent - Casualty	8/15/2000	3/11/2002
Inactive	Maryland Casualty Company	301719	Agent - General Lines	12/27/1999	8/15/2000
Inactive	Maryland Casualty Company	301719	Agent - Property	8/15/2000	3/11/2002
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	6/25/2001	7/1/2002
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	6/25/2001	7/1/2002
Inactive	Motors Insurance Corporation	300103	Agent - Casualty	7/24/2002	8/28/2002
Inactive	Motors Insurance Corporation	300103	Agent - Property	7/24/2002	8/28/2002
Active	Mutual of Omaha Insurance Company	301012	Agent - Health	5/17/2019
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Casualty	8/15/2000	8/6/2001
Inactive	National Fire Insurance Company of Hartford	301063	Agent - General Lines	6/5/2000	8/15/2000
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Property	8/15/2000	8/6/2001
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	4/13/2007
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	4/13/2007
Inactive	NorGUARD Insurance Company	500015	Agent - Casualty	1/23/2019	2/18/2020
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	8/15/2000	3/11/2002
Inactive	Northern Insurance Company of New York	301317	Agent - General Lines	3/8/2000	8/15/2000
Inactive	Northern Insurance Company of New York	301317	Agent - Property	8/15/2000	3/11/2002
Inactive	Old Guard Insurance Company	533854	Agent - Casualty	6/3/2021	6/14/2021
Inactive	Old Guard Insurance Company	533854	Agent - Property	6/3/2021	6/14/2021
Inactive	Pennsylvania Insurance Company	301219	Agent - Casualty	8/15/2000	3/11/2002
Inactive	Pennsylvania Insurance Company	301219	Agent - General Lines	8/9/1996	8/15/2000
Inactive	Pennsylvania Insurance Company	301219	Agent - Property	8/15/2000	3/11/2002
Active	Principal National Life Insurance Company	301926	Agent - Life	5/9/2019
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	3/4/2003	12/8/2003
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	3/4/2003	12/8/2003
Inactive	Protective Life Insurance Company	300638	Agent - Health	6/26/2019	11/23/2021
Inactive	Protective Life Insurance Company	300638	Agent - Life	6/26/2019	11/23/2021
Inactive	Pruco Life Insurance Company	300954	Agent - Life	8/15/2018	11/23/2022
Denied	Reassure America Life Insurance Company	301902	Agent - Health
Denied	Reassure America Life Insurance Company	301902	Agent - Life
Inactive	SAFECO Insurance Company of America	300159	Agent - General Lines	11/1/1998	6/28/2000
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - General Lines	11/1/1998	6/28/2000
Inactive	Security National Insurance Company	301151	Agent - Casualty	7/27/2001	3/11/2002
Inactive	Security National Insurance Company	301151	Agent - Property	7/27/2001	3/11/2002
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	10/27/2000	3/11/2002
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	10/27/2000	3/11/2002
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	11/17/2000	7/1/2002
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	1/8/2003	7/1/2006
Inactive	The Phoenix Insurance Company	301502	Agent - Property	1/8/2003	7/1/2006
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	7/26/2020	11/2/2023
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	7/26/2020	11/2/2023
Inactive	Transcontinental Insurance Company	301731	Agent - General Lines	2/5/1997	12/30/1999
Inactive	Transportation Insurance Company	301575	Agent - General Lines	2/1/1997	12/30/1999
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	1/8/2003	7/1/2006
Inactive	Travelers Indemnity Company (The)	301855	Agent - General Lines	5/30/2000	8/15/2000
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	1/8/2003	7/1/2006
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	1/8/2003	7/1/2006
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - General Lines	5/30/2000	8/15/2000
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	1/8/2003	7/1/2006
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	1/8/2003	7/1/2006
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	1/8/2003	7/1/2006
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	12/19/2002	7/1/2006
Inactive	Travelers Property Casualty Company of America	301649	Agent - General Lines	5/30/2000	8/15/2000
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	12/19/2002	7/1/2006
Inactive	Trinity Universal Insurance Company	300911	Agent - Casualty	7/27/2001	3/11/2002
Inactive	Trinity Universal Insurance Company	300911	Agent - Property	7/27/2001	3/11/2002
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	2/12/2001	7/1/2002
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	2/12/2001	7/1/2002
Inactive	Valley Forge Insurance Company	301052	Agent - General Lines	2/3/1997	12/30/1999
Inactive	Westfield Champion Insurance Company	1054839	Agent - Casualty	6/3/2021	6/14/2021
Inactive	Westfield Champion Insurance Company	1054839	Agent - Property	6/3/2021	6/14/2021
Inactive	Westfield Insurance Company	301950	Agent - Casualty	11/18/2019	1/13/2025
Inactive	Westfield Insurance Company	301950	Agent - Property	11/18/2019	1/13/2025
Inactive	Westfield Premier Insurance Company	1055055	Agent - Casualty	6/3/2021	6/14/2021
Inactive	Westfield Premier Insurance Company	1055055	Agent - Property	6/3/2021	6/14/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Casualty	6/3/2021	6/14/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Property	6/3/2021	6/14/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Casualty	6/3/2021	6/14/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Property	6/3/2021	6/14/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	2/25/1999	7/1/2002
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	2/25/1999	7/1/2002
Inactive	Gordon & Brown Insurance Agency, Inc.	400377	Agent - General Lines	4/30/1993	8/15/2000
Inactive	Michelson Ins Group Inc	811576	Agent - Life	6/11/2018	3/31/2021
Inactive	Michelson Ins Group Inc	811576	Agent - Health	6/11/2018	3/31/2021
Inactive	Michelson Ins Group Inc	811576	Agent - Property	6/4/2013	3/31/2021
Inactive	Michelson Ins Group Inc	811576	Agent - Casualty	6/4/2013	3/31/2021
Inactive	Risco, Inc	649837	Property & Casualty Consultant - Not Applicable	2/20/2007	3/31/2017
Active	Risco, Inc	649837	Agent - Property	3/3/2025
Active	Risco, Inc	649837	Agent - Casualty	3/3/2025
Active	Risco, Inc	649837	Public Adjuster - Property & Casualty	9/8/2010
Inactive	Triple Crown Insurance, LLC	808123	Agent - Life	9/20/2019	3/31/2025
Inactive	Triple Crown Insurance, LLC	808123	Agent - Health	9/20/2019	3/31/2025
Inactive	Triple Crown Insurance, LLC	808123	Agent - Property	9/20/2019	3/31/2025
Inactive	Triple Crown Insurance, LLC	808123	Agent - Casualty	9/20/2019	3/31/2025
Inactive	Triple Crown Insurance, LLC	808123	Surplus Lines Broker - Not Applicable	9/20/2019	5/31/2020
Inactive	Trucordia Insurance Services, LLC	976137	Agent - Life	8/11/2021	5/6/2025
Inactive	Trucordia Insurance Services, LLC	976137	Agent - Health	8/11/2021	5/6/2025
Inactive	Trucordia Insurance Services, LLC	976137	Agent - Property	8/11/2021	5/6/2025
Inactive	Trucordia Insurance Services, LLC	976137	Agent - Casualty	8/11/2021	5/6/2025

Sponsorships

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Queen, Douglas Carey	725611	Apprentice Adjuster - Not Applicable	4/28/2010	4/28/2010