DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Green, Joshua Lee	DOIID	1046228	NAIC NPN	18953213

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	7/5/2019	7/31/2021
Inactive	Non Resident	Agent	Casualty	7/5/2019	7/31/2021
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	7/5/2019	7/31/2021
* 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	3/12/2020	3/12/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/12/2020	3/12/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	CBIZ Ins Services Inc	515291	Agent - Casualty
Denied	CBIZ Ins Services Inc	515291	Agent - Property
Inactive	CBIZ Ins Services Inc	515291	Surplus Lines Broker - Not Applicable	7/5/2019	11/6/2020