DEPARTMENT OF INSURANCE

Affiliations

Name	Michael, Christopher Patrick	DOIID	371697	NAIC NPN	2851296

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	7/2/2020		3/31/2026
Active	Resident	Agent	Property	7/2/2020		3/31/2026
Inactive	Non Resident	Agent	Life	10/15/1992	3/31/2018
Inactive	Non Resident	Agent	Health	10/15/1992	3/31/2018
Inactive	Non Resident	Agent	Variable Life and Variable Annuities	5/31/2001	3/31/2018
Inactive	Resident	Agent	General Lines	11/18/1992	8/15/2000
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AIG Assurance Company	300897	Agent - Casualty	12/31/2004	6/28/2010
Inactive	AIG Assurance Company	300897	Agent - Property	12/31/2004	6/28/2010
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	8/21/2001	3/8/2002
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	8/21/2001	3/8/2002
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	12/23/2015	3/31/2018
Inactive	American Family Home Insurance Company	301817	Agent - Property	12/23/2015	3/31/2018
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	9/25/2006	12/10/2014
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	9/25/2006	12/10/2014
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	10/7/2008	3/8/2011
Inactive	American Fire and Casualty Company	300567	Agent - Property	10/7/2008	3/8/2011
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	12/23/2015	3/31/2018
Inactive	American Modern Home Insurance Company	300791	Agent - Property	12/23/2015	3/31/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	12/23/2015	3/31/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Property	12/23/2015	3/31/2018
Inactive	American Reliable Insurance Company	301889	Agent - Casualty	10/24/2011	11/20/2017
Inactive	American Reliable Insurance Company	301889	Agent - Property	10/24/2011	11/20/2017
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	12/23/2015	3/31/2018
Inactive	American Southern Home Insurance Company	626276	Agent - Property	12/23/2015	3/31/2018
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	3/28/2007	1/12/2017
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	3/28/2007	1/12/2017
Inactive	Assurity Life Insurance Company	301099	Agent - Health	2/16/2005	9/27/2010
Inactive	Assurity Life Insurance Company	301099	Agent - Life	2/16/2005	9/27/2010
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	5/3/2006	4/17/2008
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	5/3/2006	4/17/2008
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	6/22/2011	8/29/2016
Inactive	Bristol West Insurance Company	301655	Agent - Property	6/22/2011	8/29/2016
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	5/3/2006	4/17/2008
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	5/3/2006	4/17/2008
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/9/2010	7/14/2014
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	10/7/2008	3/8/2011
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/7/2008	3/8/2011
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	7/14/2014
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	4/10/2013	3/31/2018
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	4/10/2013	3/31/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	12/28/2005	8/29/2016
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	12/28/2005	8/29/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/23/2005	2/10/2009
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/23/2005	2/10/2009
Inactive	Granite State Insurance Company	300818	Agent - Casualty	6/29/2005	6/28/2010
Inactive	Granite State Insurance Company	300818	Agent - Property	6/29/2005	6/28/2010
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/7/2008	7/14/2014
Inactive	Humana Insurance Company	301104	Agent - Health	2/2/2005	7/14/2014
Inactive	Humana Insurance Company	301104	Agent - Life	2/2/2005	7/14/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/2/2005	7/14/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/2/2005	7/14/2014
Inactive	HumanaDental Insurance Company	301457	Agent - Health	3/27/2012	12/19/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	3/27/2012	12/19/2012
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	1/16/2007	6/28/2010
Inactive	Illinois National Insurance Company	301367	Agent - Property	1/16/2007	6/28/2010
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/7/2008	3/8/2011
Inactive	Indiana Insurance Company	301909	Agent - Property	10/7/2008	3/8/2011
Inactive	John Alden Life Insurance Company	300573	Agent - Health	2/12/2007	12/29/2008
Inactive	John Alden Life Insurance Company	300573	Agent - Life	2/12/2007	12/29/2008
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/12/2008	4/25/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/12/2008	4/25/2013
Inactive	Nationwide Agribusiness Insurance Company	301008	Agent - Casualty	2/22/2011	7/1/2016
Inactive	Nationwide Agribusiness Insurance Company	301008	Agent - Property	2/22/2011	7/1/2016
Inactive	Nationwide Assurance Company	300166	Agent - Casualty	8/15/2000	7/1/2016
Inactive	Nationwide Assurance Company	300166	Agent - General Lines	12/3/1992	8/15/2000
Inactive	Nationwide General Insurance Company	300603	Agent - Casualty	12/4/2000	7/1/2016
Inactive	Nationwide General Insurance Company	300603	Agent - Property	12/4/2000	7/1/2016
Inactive	Nationwide Insurance Company of America	300333	Agent - Casualty	4/1/2011	7/1/2016
Inactive	Nationwide Insurance Company of America	300333	Agent - Property	4/1/2011	7/1/2016
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	10/15/1992	7/1/2016
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	10/15/1992	7/1/2016
Inactive	Nationwide Life Insurance Company	300495	Agent - Variable Life and Variable Annuities	5/31/2001	10/15/2007
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	4/9/2002	7/1/2016
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Casualty	8/15/2000	7/1/2016
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - General Lines	11/18/1992	8/15/2000
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Property	8/15/2000	7/1/2016
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	8/15/2000	7/1/2016
Inactive	Nationwide Mutual Insurance Company	301749	Agent - General Lines	11/18/1992	8/15/2000
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	8/15/2000	7/1/2016
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	8/15/2000	7/1/2016
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - General Lines	11/18/1992	8/15/2000
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	8/15/2000	7/1/2016
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/7/2008	3/8/2011
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/7/2008	3/8/2011
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/7/2008	3/8/2011
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	10/7/2008	3/8/2011
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	10/7/2008	3/8/2011
Inactive	Ohio Security Insurance Company	300622	Agent - Property	10/7/2008	3/8/2011
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/7/2008	3/8/2011
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	10/7/2008	3/8/2011
Inactive	Peerless Insurance Company	301910	Agent - Casualty	10/7/2008	3/8/2011
Inactive	Peerless Insurance Company	301910	Agent - Property	10/7/2008	3/8/2011
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/11/2007	6/28/2010
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/11/2007	6/28/2010
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	5/3/2006	4/17/2008
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	5/3/2006	4/17/2008
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	5/3/2006	4/17/2008
Inactive	The Phoenix Insurance Company	301502	Agent - Property	5/3/2006	4/17/2008
Inactive	TravCo Insurance Company	301828	Agent - Casualty	5/3/2006	4/17/2008
Inactive	TravCo Insurance Company	301828	Agent - Property	5/3/2006	4/17/2008
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Casualty	5/3/2006	4/17/2008
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Property	5/3/2006	4/17/2008
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	5/3/2006	4/17/2008
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	5/3/2006	4/17/2008
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	5/3/2006	4/17/2008
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	5/3/2006	4/17/2008
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	5/3/2006	4/17/2008
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	5/3/2006	4/17/2008
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Casualty	5/3/2006	4/17/2008
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Property	5/3/2006	4/17/2008
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	11/17/2006	7/1/2016
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	11/17/2006	7/1/2016
Inactive	West American Insurance Company	301112	Agent - Casualty	10/7/2008	3/8/2011
Inactive	West American Insurance Company	301112	Agent - Property	10/7/2008	3/8/2011
Inactive	Western Surety Company	300283	Agent - Casualty	1/8/2004	8/27/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	Medlink Inc	400721	Agent - Life	3/28/2007	1/12/2017
Inactive	Medlink Inc	400721	Agent - Health	3/28/2007	1/12/2017
Denied	Michael Insurance Agency LLC	773694	Agent - Life
Denied	Michael Insurance Agency LLC	773694	Agent - Health
Denied	Michael Insurance Agency LLC	773694	Agent - Property
Denied	Michael Insurance Agency LLC	773694	Agent - Casualty
Inactive	NBS Insurance Agency Inc	515576	Agent - Property	4/10/2013	3/31/2018
Inactive	NBS Insurance Agency Inc	515576	Agent - Casualty	4/10/2013	3/31/2018