DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Black, Lauren	DOIID	1073565	NAIC NPN	19409358

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	2/7/2020		3/31/2026
Active	Non Resident	Agent	Casualty	2/7/2020		3/31/2026
* 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	Bristol West Insurance Company	301655	Agent - Casualty	9/8/2020	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	9/8/2020	12/20/2024
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	7/21/2022	4/17/2024
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	7/21/2022	4/17/2024
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/8/2020
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/8/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Seeman Holtz Property & Casualty LLC	973793	Agent - Casualty
Denied	Seeman Holtz Property & Casualty LLC	973793	Agent - Property