DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Nelson, Glendon Dale	DOIID	759552	NAIC NPN	12654039

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Casualty	2/17/2022		8/31/2027
Pending Replacement	Non Resident	Agent	Property	2/17/2022		8/31/2027
Pending Replacement	Non Resident	Surplus Lines Broker	Not Applicable	1/9/2023		8/31/2027
* 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	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	1/27/2016	5/21/2020
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/27/2016	5/21/2020
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	1/27/2016	8/29/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	1/27/2016	8/29/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	1/27/2016	8/29/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	1/27/2016	8/29/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Icon Insurance Programs, LLC	1380499	Agent - Property	1/15/2025
Pending Replacement	Icon Insurance Programs, LLC	1380499	Agent - Casualty	1/15/2025
Inactive	M & O Agencies Inc	551220	Surplus Lines Broker - Not Applicable	6/5/2015	4/8/2020