DEPARTMENT OF INSURANCE
Affiliations
NameAmsis, Georgina DOIID1116095NAIC NPN19753104
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentProperty1/8/2021 8/31/2025
ActiveNon ResidentAgentCasualty1/8/2021 8/31/2025
* 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
Agent06/15/202508/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty1/19/2021 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property1/19/2021 
ActiveForemost Property and Casualty Insurance Company300871Agent - Casualty1/19/2021 
ActiveForemost Property and Casualty Insurance Company300871Agent - Property1/19/2021 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveFx Insurance Agency, LLC646184Agent - Casualty1/19/2021 
ActiveFx Insurance Agency, LLC646184Agent - Property1/19/2021 

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