DEPARTMENT OF INSURANCE
Affiliations
NameEllis, Braxton DOIID1050670NAIC NPN17651003
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentPersonal Lines8/9/2019 12/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent10/15/202512/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveBristol West Insurance Company301655Agent - Personal Lines8/12/2019 
ActiveFarmers Insurance Exchange300336Agent - Personal Lines6/12/2020 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Personal Lines7/29/2021 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveFx Insurance Agency, LLC646184Agent - Personal Lines8/15/2019 

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