DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Nicholas Leonard	DOIID	1090665	NAIC NPN	18868986

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	7/24/2020	9/30/2023
Inactive	Non Resident	Agent	Property	7/24/2020	9/30/2023
* 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	4/8/2021	9/30/2023
Inactive	Bristol West Insurance Company	301655	Agent - Property	4/8/2021	9/30/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/26/2020	9/30/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/26/2020	9/30/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Max Ins Agency Inc	588185	Agent - Casualty	8/26/2020	11/19/2022
Inactive	Max Ins Agency Inc	588185	Agent - Property	8/26/2020	11/19/2022