DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bandurske, Zackary A	DOIID	1000179	NAIC NPN	18839820

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Property	7/27/2018	1/31/2021
Inactive	Resident	Agent	Casualty	7/27/2018	1/31/2021
* 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	10/29/2019	3/23/2020
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	10/29/2019	3/23/2020
Inactive	GEICO General Insurance Company	301684	Agent - Casualty	10/17/2019	12/5/2019
Inactive	GEICO General Insurance Company	301684	Agent - Property	10/17/2019	12/5/2019
Inactive	GEICO Indemnity Company	301720	Agent - Casualty	10/17/2019	12/5/2019
Inactive	GEICO Indemnity Company	301720	Agent - Property	10/17/2019	12/5/2019
Inactive	GEICO Marine Insurance Company	590512	Agent - Casualty	10/28/2019	3/9/2020
Inactive	Government Employees Insurance Company	300376	Agent - Casualty	10/17/2019	12/5/2019
Inactive	Government Employees Insurance Company	300376	Agent - Property	10/17/2019	12/5/2019
Inactive	Homesite Insurance Company	301139	Agent - Casualty	11/4/2019	1/31/2021
Inactive	Homesite Insurance Company	301139	Agent - Property	11/4/2019	1/31/2021
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	11/4/2019	1/31/2021
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Property	11/4/2019	1/31/2021
Inactive	Jewelers Mutual Insurance Company, SI	301935	Agent - Casualty	10/21/2019	3/6/2020
Inactive	Jewelers Mutual Insurance Company, SI	301935	Agent - Property	10/21/2019	3/6/2020
Inactive	Milbank Insurance Company	925185	Agent - Casualty	2/1/2019	10/31/2019
Inactive	Milbank Insurance Company	925185	Agent - Property	2/1/2019	10/31/2019
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	9/7/2018	10/31/2019
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	9/7/2018	10/31/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kentucky Shield Inc	921642	Agent - Casualty	9/7/2018	3/26/2019
Inactive	Kentucky Shield Inc	921642	Agent - Property	9/7/2018	3/26/2019
Inactive	Worley Insurance Services, LLC	966605	Agent - Casualty	9/30/2019	12/5/2019
Inactive	Worley Insurance Services, LLC	966605	Agent - Property	9/30/2019	12/5/2019