DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Dvorak, Grant	DOIID	1049587	NAIC NPN	19241030

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	7/31/2019	9/30/2022
Inactive	Non Resident	Agent	Casualty	7/31/2019	9/30/2022
* 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	American Family Connect Property and Casualty Insurance Company	622403	Agent - Casualty	8/7/2019	5/3/2021
Inactive	American Family Connect Property and Casualty Insurance Company	622403	Agent - Property	8/7/2019	5/3/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	8/14/2019	6/8/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Property	8/14/2019	6/8/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/13/2019	5/18/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/13/2019	5/18/2021
Inactive	Homesite Insurance Company	301139	Agent - Casualty	8/9/2019	9/30/2022
Inactive	Homesite Insurance Company	301139	Agent - Property	8/9/2019	9/30/2022
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	8/9/2019	9/30/2022
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Property	8/9/2019	9/30/2022
Inactive	Midvale Indemnity Company	300292	Agent - Casualty	8/9/2019	9/30/2022
Inactive	Midvale Indemnity Company	300292	Agent - Property	8/9/2019	9/30/2022
Inactive	RLI Insurance Company	301217	Agent - Casualty	8/28/2020	5/3/2021
Inactive	RLI Insurance Company	301217	Agent - Property	8/28/2020	5/3/2021

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 - Casualty	8/7/2019	8/10/2021
Inactive	American Family Connect Insurance Agency, Inc.	619157	Agent - Property	8/7/2019	8/10/2021