DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Barbosa, Mercy	DOIID	1101837	NAIC NPN	8712536

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	10/1/2020	10/31/2022
Inactive	Non Resident	Agent	Casualty	10/1/2020	10/31/2022
* 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	Bristol West Insurance Company	301655	Agent - Casualty	10/8/2020	10/31/2022
Inactive	Bristol West Insurance Company	301655	Agent - Property	10/8/2020	10/31/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	10/8/2020	10/31/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	10/8/2020	10/31/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Elite Insurance Group, Inc	1068895	Agent - Casualty	1/7/2021	10/31/2022
Inactive	Elite Insurance Group, Inc	1068895	Agent - Property	1/7/2021	10/31/2022