DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Beliveau, Michele L	DOIID	549758	NAIC NPN	235017

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	3/27/2009	4/25/2010
Inactive	Non Resident	Agent	Property	3/27/2009	4/25/2010
* 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
Inactive	Amica Mutual Insurance Company	301405	Agent - Casualty	4/3/2009	4/8/2010
Inactive	Amica Mutual Insurance Company	301405	Agent - Property	4/3/2009	4/8/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Amica General Agency, LLC	509383	Agent - Casualty	6/10/2002	12/21/2004
Inactive	Amica General Agency, LLC	509383	Agent - Property	6/10/2002	12/21/2004