DEPARTMENT OF INSURANCE

Affiliations

Name	Green, Machelle Nicole	DOIID	1015037	NAIC NPN	18943546

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Personal Lines	10/24/2018	4/30/2027
Active	Resident	Agent	Property	10/24/2018	4/30/2027
Active	Resident	Agent	Casualty	10/24/2018	4/30/2027
* 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	02/15/2025	04/30/2025	05/12/2025	05/12/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019	5/27/2022
Active	American Economy Insurance Company	300315	Agent - Personal Lines	6/9/2022
Inactive	American Economy Insurance Company	300315	Agent - Property	11/9/2019	5/27/2022
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Personal Lines	3/28/2019
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	10/25/2018
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	10/25/2018
Active	Ohio Security Insurance Company	300622	Agent - Casualty	12/16/2019
Active	Ohio Security Insurance Company	300622	Agent - Property	12/16/2019
Inactive	Old Guard Insurance Company	533854	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Old Guard Insurance Company	533854	Agent - Property	6/2/2021	6/11/2021
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	11/8/2018
Active	SAFECO Insurance Company of America	300159	Agent - Property	11/8/2018
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	11/8/2018	5/27/2022
Active	SAFECO Insurance Company of Illinois	301350	Agent - Personal Lines	8/2/2022
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	11/8/2018	5/27/2022
Active	West American Insurance Company	301112	Agent - Casualty	1/18/2023
Active	West American Insurance Company	301112	Agent - Property	1/18/2023
Inactive	Westfield Champion Insurance Company	1054839	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Champion Insurance Company	1054839	Agent - Property	6/2/2021	6/11/2021
Active	Westfield Insurance Company	301950	Agent - Casualty	11/1/2018
Active	Westfield Insurance Company	301950	Agent - Property	11/1/2018
Inactive	Westfield Premier Insurance Company	1055055	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Premier Insurance Company	1055055	Agent - Property	6/2/2021	6/11/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Property	6/2/2021	6/11/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Property	6/2/2021	6/11/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Parker Insurance Agency Inc.	398425	Agent - Casualty	10/25/2018
Active	Parker Insurance Agency Inc.	398425	Agent - Property	10/25/2018