DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	White, Dawn	DOIID	1001459	NAIC NPN	18843664

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	2/22/2024		9/30/2024
Active	Non Resident	Agent	Property	2/22/2024		9/30/2024
* 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	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Family Connect Property and Casualty Insurance Company	622403	Agent - Casualty	2/23/2024
Active	American Family Connect Property and Casualty Insurance Company	622403	Agent - Property	2/23/2024
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	3/13/2023	11/13/2023
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Property	3/13/2023	11/13/2023
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	5/18/2022	11/13/2023
Inactive	Bristol West Insurance Company	301655	Agent - Property	5/18/2022	11/13/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/27/2018	11/13/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/27/2018	11/13/2023
Active	Homesite Insurance Company	301139	Agent - Casualty	2/23/2024
Active	Homesite Insurance Company	301139	Agent - Property	2/23/2024
Active	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	2/23/2024
Active	Homesite Insurance Company of the Midwest	874850	Agent - Property	2/23/2024
Active	Midvale Indemnity Company	300292	Agent - Casualty	2/23/2024
Active	Midvale Indemnity Company	300292	Agent - Property	2/23/2024
Denied	Permanent General Assurance Corporation of Ohio	709250	Agent - Casualty
Inactive	RLI Insurance Company	301217	Agent - Casualty	10/29/2020	11/13/2023
Inactive	RLI Insurance Company	301217	Agent - Property	10/29/2020	11/13/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Connect Insurance Agency, Inc.	619157	Agent - Property	7/24/2018	11/13/2023
Inactive	American Family Connect Insurance Agency, Inc.	619157	Agent - Casualty	7/24/2018	11/13/2023