Individual Information

ROBIN MARK MICHELSEN

Address:

PLANO, TX 75024-3598

Status:

Active

Email:

rmichelsen@cpiai.com

Date:

09/16/2019

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	709588	08/03/2010	Active	09/16/2019	09/30/2025
Non-Res. Surplus Lines Broker	3540391	04/28/2020	Active	04/28/2020	04/30/2026

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	08/03/2010	Active	09/16/2019
Property	08/03/2010	Active	09/16/2019
Surplus Lines	04/28/2020	Active	04/28/2020
Health	08/03/2010	Inactive	09/01/2013
Life	08/03/2010	Inactive	09/01/2013
Personal Lines	08/03/2010	Inactive	09/01/2013

Company Name	Appointment Type	Status	Active Date
856
AMERICAN NATIONAL PROPERTY AND CASUALTY COMPANY	Casualty	Active	09/17/2019
	Property	Active	09/17/2019
171
Company Name	Appointment Type	Status	Active Date
ARCH INDEMNITY INSURANCE COMPANY	Casualty	Active	12/21/2022
	Property	Active	12/21/2022
1342
Company Name	Appointment Type	Status	Active Date
ARCH INSURANCE COMPANY	Casualty	Active	12/16/2022
	Property	Active	12/16/2022
1279
Company Name	Appointment Type	Status	Active Date
STARSTONE NATIONAL INSURANCE COMPANY	Casualty	Active	01/13/2025
	Property	Active	01/13/2025

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Organization	Association Type	Type	Beg dte	End dte
COLLATERAL PROTECTION PARTNERSHIP LTD	Designated Resp Lic Prdcr	Agency	07/14/2020	-

1 - 1