DEPARTMENT OF INSURANCE

Affiliations

Name	Miller, Michael	DOIID	699727	NAIC NPN	7366026

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	2/16/2009	3/31/2027
Active	Non Resident	Agent	Casualty	2/16/2009	3/31/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	6/25/2024	3/31/2027
* 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	Ansur America Insurance Company	520667	Agent - Casualty	12/17/2010	5/28/2019
Inactive	Ansur America Insurance Company	520667	Agent - Property	12/17/2010	5/28/2019
Active	Arch Insurance Company	300688	Agent - Casualty	3/12/2021
Active	Arch Insurance Company	300688	Agent - Property	3/12/2021
Inactive	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	11/27/2021	11/27/2021
Active	Employers Insurance Company of Wausau	301813	Agent - Casualty	1/3/2018
Active	Employers Insurance Company of Wausau	301813	Agent - Property	1/3/2018
Active	Federal Insurance Company	301144	Agent - Casualty	9/11/2012
Active	Federal Insurance Company	301144	Agent - Property	9/11/2012
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	6/1/2009	11/8/2011
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	6/1/2009	11/8/2011
Inactive	Frankenmuth Insurance Company	301481	Agent - Casualty	12/17/2010	5/28/2019
Inactive	Frankenmuth Insurance Company	301481	Agent - Property	12/17/2010	5/28/2019
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	1/3/2018
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Property	1/3/2018
Inactive	Middlesex Mutual Assurance Company	569442	Agent - Casualty	9/23/2013	10/21/2014
Inactive	Middlesex Mutual Assurance Company	569442	Agent - Property	9/23/2013	10/21/2014
Inactive	NorthStone Insurance Company	818905	Agent - Casualty	11/27/2021	11/27/2021
Inactive	PinnaclePoint Insurance Company	819085	Agent - Casualty	11/27/2021	11/27/2021
Active	Selective Insurance Company of the Southeast	300381	Agent - Casualty	2/4/2016
Active	Selective Insurance Company of the Southeast	300381	Agent - Property	2/4/2016
Inactive	SummitPoint Insurance Company	819084	Agent - Casualty	11/27/2021	11/27/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Property	4/4/2013
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Casualty	4/4/2013
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Surplus Lines Broker - Not Applicable	7/15/2024