DEPARTMENT OF INSURANCE

Affiliations

Name	Tubertini, Glenn David	DOIID	1065794	NAIC NPN	1984464

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	11/19/2019	4/30/2025
Active	Non Resident	Agent	Life	10/22/2020	4/30/2025
Active	Non Resident	Agent	Health	11/19/2019	4/30/2025
Active	Non Resident	Agent	Property	11/19/2019	4/30/2025
* 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
Agent	02/15/2025	04/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AAA Life Insurance Company	300287	Agent - Health	11/2/2020	4/16/2021
Inactive	AAA Life Insurance Company	300287	Agent - Life	11/2/2020	4/16/2021
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	9/11/2020	4/5/2022
Inactive	Bristol West Insurance Company	301655	Agent - Property	9/11/2020	4/5/2022
Inactive	CSAA Fire & Casualty Insurance Company	606666	Agent - Casualty	11/22/2019	4/14/2021
Inactive	CSAA Fire & Casualty Insurance Company	606666	Agent - Property	11/22/2019	4/14/2021
Inactive	CSAA General Insurance Company	606675	Agent - Casualty	11/22/2019	4/14/2021
Inactive	CSAA General Insurance Company	606675	Agent - Property	11/22/2019	4/14/2021
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	5/6/2020	10/3/2024
Inactive	Encompass Indemnity Company	546376	Agent - Property	5/6/2020	10/3/2024
Active	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	10/25/2024
Active	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	10/25/2024
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	10/25/2024
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Property	10/25/2024
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/24/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/24/2023
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Casualty	3/19/2021	5/2/2021
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Property	3/19/2021	5/2/2021
Inactive	Unitrin Safeguard Insurance Company	301371	Agent - Casualty	3/19/2021	5/2/2021
Inactive	Unitrin Safeguard Insurance Company	301371	Agent - Property	3/19/2021	5/2/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aca Club Insurance Agency, Inc.	1033550	Agent - Casualty	1/22/2020	4/14/2021
Inactive	Aca Club Insurance Agency, Inc.	1033550	Agent - Health	11/2/2020	4/14/2021
Inactive	Aca Club Insurance Agency, Inc.	1033550	Agent - Property	1/22/2020	4/14/2021
Inactive	Aca Club Insurance Agency, Inc.	1033550	Agent - Life	11/2/2020	4/14/2021
Active	Homeservices Insurance Inc	583072	Agent - Casualty	7/14/2023
Active	Homeservices Insurance Inc	583072	Agent - Property	7/14/2023