DEPARTMENT OF INSURANCE

Affiliations

Name	Terrill, Michael Leo	DOIID	519662	NAIC NPN	3198682

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	12/27/2000	9/30/2025
Active	Non Resident	Agent	Property	12/27/2000	9/30/2025
* 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	07/15/2025	09/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	21st Century Centennial Insurance Company	301840	Agent - Casualty	2/11/2002	11/12/2004
Inactive	21st Century Centennial Insurance Company	301840	Agent - Property	2/11/2002	11/12/2004
Inactive	21st Century North America Insurance Company	300884	Agent - Casualty	12/28/2004	11/4/2016
Inactive	21st Century North America Insurance Company	300884	Agent - Property	12/28/2004	11/4/2016
Inactive	21st Century Premier Insurance Company	301925	Agent - Casualty	12/27/2000	11/12/2004
Inactive	21st Century Premier Insurance Company	301925	Agent - Property	12/27/2000	11/12/2004
Inactive	American Home Assurance Company	300246	Agent - Casualty	12/28/2004	9/16/2009
Inactive	American Home Assurance Company	300246	Agent - Property	12/28/2004	9/16/2009
Active	American Modern Home Insurance Company	300791	Agent - Casualty	6/16/2021
Active	American Modern Home Insurance Company	300791	Agent - Property	6/16/2021
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	2/6/2016	7/21/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	2/6/2016	7/21/2017
Active	Homesite Insurance Company	301139	Agent - Casualty	11/12/2020
Active	Homesite Insurance Company	301139	Agent - Property	11/12/2020
Active	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	11/12/2020
Active	Homesite Insurance Company of the Midwest	874850	Agent - Property	11/12/2020
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	9/1/2017	9/20/2020
Inactive	Trumbull Insurance Company	300242	Agent - Property	9/1/2017	9/20/2020
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	9/1/2017	12/1/2020
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	9/1/2017	12/1/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	GE Capital Agency, Inc.	524491	Agent - Property	6/8/2001	1/8/2004
Inactive	GE Capital Agency, Inc.	524491	Agent - Casualty	6/8/2001	1/8/2004