DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Teske, Marisa Ann	DOIID	1097726	NAIC NPN	19637032

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	9/11/2020	3/31/2023
Inactive	Non Resident	Agent	Casualty	9/11/2020	3/31/2023
* 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	American Modern Home Insurance Company	300791	Agent - Casualty	10/6/2020	3/27/2023
Inactive	American Modern Home Insurance Company	300791	Agent - Property	10/6/2020	3/27/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/23/2020	4/10/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/23/2020	4/10/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Horace Mann Service Corporation	400869	Agent - Casualty	10/6/2020	9/5/2022
Inactive	Horace Mann Service Corporation	400869	Agent - Property	10/6/2020	9/5/2022