DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Shook, Courtney Jo	DOIID	1018544	NAIC NPN	18938345

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	11/8/2018	11/22/2022
Inactive	Non Resident	Agent	Property	11/8/2018	11/22/2022
Active	Non Resident	Staff Adjuster	Property & Casualty	10/25/2021		3/31/2027
* 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
Staff Adjuster	01/15/2027	03/31/2027

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	11/16/2018	5/31/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/16/2018	5/31/2022
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	11/16/2018	5/31/2022
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	11/16/2018	5/31/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fx Insurance Agency, LLC	646184	Agent - Casualty	11/16/2018	5/31/2022
Inactive	Fx Insurance Agency, LLC	646184	Agent - Property	11/16/2018	5/31/2022