DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Payten, Andre	DOIID	1076175	NAIC NPN	17834921

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	2/28/2020	2/28/2022
Inactive	Non Resident	Agent	Casualty	2/28/2020	2/28/2022
* 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 Modern Home Insurance Company	300791	Agent - Casualty	3/12/2020	11/20/2020
Inactive	American Modern Home Insurance Company	300791	Agent - Property	3/12/2020	11/20/2020
Inactive	Cincinnati Insurance Company	301298	Agent - Casualty	4/3/2020	11/17/2020
Inactive	Cincinnati Insurance Company	301298	Agent - Property	4/3/2020	11/17/2020
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	3/30/2020	12/10/2020
Inactive	Encompass Indemnity Company	546376	Agent - Property	3/30/2020	12/10/2020
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	3/30/2020	12/10/2020
Inactive	Encompass Insurance Company of America	556578	Agent - Property	3/30/2020	12/10/2020
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/1/2020	11/24/2020
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/1/2020	11/24/2020
Inactive	Westfield Insurance Company	301950	Agent - Casualty	5/1/2020	12/8/2020
Inactive	Westfield Insurance Company	301950	Agent - Property	5/1/2020	12/8/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Huntington Insurance Inc	515749	Agent - Casualty	3/12/2020	11/20/2020
Inactive	Huntington Insurance Inc	515749	Agent - Property	3/12/2020	11/20/2020