DEPARTMENT OF INSURANCE
Affiliations
NameBlack, Lauren DOIID1073565NAIC NPN19409358
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentProperty2/7/2020 3/31/2026
ActiveNon ResidentAgentCasualty2/7/2020 3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202603/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBristol West Insurance Company301655Agent - Casualty9/8/202012/20/2024
InactiveBristol West Insurance Company301655Agent - Property9/8/202012/20/2024
InactiveFarmers Property and Casualty Insurance Company301237Agent - Casualty7/21/20224/17/2024
InactiveFarmers Property and Casualty Insurance Company301237Agent - Property7/21/20224/17/2024
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty9/8/20207/23/2025
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property9/8/20207/23/2025
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
DeniedSeeman Holtz Property & Casualty LLC973793Agent - Casualty  
DeniedSeeman Holtz Property & Casualty LLC973793Agent - Property  

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