DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Phillips, Michael T	DOIID	930813	NAIC NPN	18121249

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	12/19/2024		3/31/2026
Active	Non Resident	Agent	Property	12/19/2024		3/31/2026
Active	Non Resident	Independent Adjuster	Property & Casualty	9/26/2016		3/31/2026
* 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	01/15/2026	03/31/2026
Independent Adjuster	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	State National Insurance Company, Inc.	300888	Agent - Casualty	2/11/2025
Active	State National Insurance Company, Inc.	300888	Agent - Property	2/11/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CFC Usa Inc	1046745	Agent - Casualty	2/11/2025	8/22/2025
Inactive	CFC Usa Inc	1046745	Agent - Property	2/11/2025	8/22/2025