DEPARTMENT OF INSURANCE
Affiliations
NameBass, Michelle JeanneneDOIID1253359NAIC NPN18740117
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth1/31/2023 6/30/2026
ActiveNon ResidentAgentCasualty1/27/2023 6/30/2026
ActiveNon ResidentAgentLife1/31/2023 6/30/2026
ActiveNon ResidentAgentProperty1/27/2023 6/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent04/15/202606/30/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAllstate Indemnity Company300778Agent - Casualty3/5/2025 
ActiveAllstate Indemnity Company300778Agent - Property3/5/2025 
ActiveAllstate Insurance Company300773Agent - Casualty3/5/2025 
ActiveAllstate Insurance Company300773Agent - Property3/5/2025 
ActiveAllstate North America Insurance Company1121481Agent - Casualty7/24/2025 
ActiveAllstate North America Insurance Company1121481Agent - Property7/24/2025 
ActiveAllstate Property and Casualty Insurance Company300593Agent - Casualty3/5/2025 
ActiveAllstate Property and Casualty Insurance Company300593Agent - Property3/5/2025 
ActiveAllstate Vehicle & Property Insurance Company301429Agent - Casualty3/5/2025 
ActiveAllstate Vehicle & Property Insurance Company301429Agent - Property3/5/2025 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty5/24/2023 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property5/24/2023 
ActiveIntegon General Insurance Corporation301186Agent - Casualty12/6/2024 
ActiveIntegon General Insurance Corporation301186Agent - Property12/6/2024 
ActiveIntegon Indemnity Corporation300674Agent - Casualty1/25/2025 
ActiveIntegon Indemnity Corporation300674Agent - Property1/25/2025 
ActiveNational General Insurance Company300152Agent - Casualty1/30/2023 
ActiveNational General Insurance Company300152Agent - Property1/30/2023 
InactiveNationwide Life and Benefits Insurance Company301045Agent - Life2/1/202312/9/2025
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAffinity Brokerage, LLC544886Agent - Casualty1/31/2023 
ActiveAffinity Brokerage, LLC544886Agent - Property1/31/2023 
InactiveCWI, LLC662170Agent - Casualty1/31/20234/29/2024
InactiveCWI, LLC662170Agent - Property1/31/20234/29/2024
InactiveCamping World Insurance Services of Kentucky, LLC663187Agent - Casualty1/31/20234/29/2024
InactiveCamping World Insurance Services of Kentucky, LLC663187Agent - Property1/31/20234/29/2024
ActiveDirect General Insurance Agency Inc1018980Agent - Casualty1/31/2023 
ActiveDirect General Insurance Agency Inc1018980Agent - Property1/31/2023 
ActiveNational General Ins Marketing Inc621228Agent - Casualty1/31/2023 
ActiveNational General Ins Marketing Inc621228Agent - Property1/31/2023 

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