DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Glass, Benjamin David	DOIID	1119146	NAIC NPN	19784570

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	2/2/2021	8/24/2021
Inactive	Non Resident	Agent	Casualty	2/2/2021	8/24/2021
* 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	Century-National Insurance Company	300540	Agent - Casualty	2/4/2021	8/24/2021
Inactive	Century-National Insurance Company	300540	Agent - Property	2/4/2021	8/24/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/1/2021	10/7/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/1/2021	10/7/2021
Inactive	Integon National Insurance Company	301600	Agent - Casualty	2/4/2021	8/24/2021
Inactive	Integon National Insurance Company	301600	Agent - Property	2/4/2021	8/24/2021
Inactive	National General Insurance Company	300152	Agent - Casualty	2/4/2021	8/24/2021
Inactive	National General Insurance Company	300152	Agent - Property	2/4/2021	8/24/2021
Inactive	New South Insurance Company	300744	Agent - Casualty	2/4/2021	8/24/2021
Inactive	New South Insurance Company	300744	Agent - Property	2/4/2021	8/24/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Affinity Brokerage, LLC	544886	Agent - Casualty	3/8/2021	8/24/2021
Inactive	Affinity Brokerage, LLC	544886	Agent - Property	3/8/2021	8/24/2021
Inactive	CWI, LLC	662170	Agent - Casualty	3/8/2021	8/24/2021
Inactive	CWI, LLC	662170	Agent - Property	3/8/2021	8/24/2021
Inactive	Direct General Insurance Agency Inc	1018980	Agent - Casualty	3/8/2021	8/24/2021
Inactive	Direct General Insurance Agency Inc	1018980	Agent - Property	3/8/2021	8/24/2021
Inactive	National General Ins Marketing Inc	621228	Agent - Casualty	3/8/2021	8/24/2021
Inactive	National General Ins Marketing Inc	621228	Agent - Property	3/8/2021	8/24/2021