DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Remillard, David Willson	DOIID	1019253	NAIC NPN	18965090

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	11/15/2018	10/31/2021
Inactive	Non Resident	Agent	Casualty	11/15/2018	10/31/2021
* 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	12/14/2018	2/4/2020
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	12/14/2018	2/4/2020
Inactive	GEICO Casualty Company	301178	Agent - Casualty	3/17/2021	10/31/2021
Inactive	GEICO General Insurance Company	301684	Agent - Casualty	3/17/2021	10/31/2021
Inactive	GEICO General Insurance Company	301684	Agent - Property	3/17/2021	10/31/2021
Inactive	GEICO Indemnity Company	301720	Agent - Casualty	3/17/2021	10/31/2021
Inactive	GEICO Indemnity Company	301720	Agent - Property	3/17/2021	10/31/2021
Inactive	Government Employees Insurance Company	300376	Agent - Casualty	3/17/2021	10/31/2021
Inactive	Government Employees Insurance Company	300376	Agent - Property	3/17/2021	10/31/2021
Inactive	National General Insurance Company	300152	Agent - Casualty	11/16/2018	9/25/2019
Inactive	National General Insurance Company	300152	Agent - Property	11/16/2018	9/25/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Affinity Brokerage, LLC	544886	Agent - Property	11/29/2018	10/8/2019
Inactive	Affinity Brokerage, LLC	544886	Agent - Casualty	11/29/2018	10/8/2019
Inactive	CWI, LLC	662170	Agent - Property	11/29/2018	10/8/2019
Inactive	CWI, LLC	662170	Agent - Casualty	11/29/2018	10/8/2019
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Property	11/29/2018	10/8/2019
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Casualty	11/29/2018	10/8/2019
Inactive	National General Ins Marketing Inc	621228	Agent - Property	11/29/2018	10/8/2019
Inactive	National General Ins Marketing Inc	621228	Agent - Casualty	11/29/2018	10/8/2019