DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	General Motors Insurance Services, Inc.	DOIID	1123178	NAIC NPN	19687918

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	3/5/2021		3/31/2025
Active	Non Resident	Agent	Property	3/5/2021		3/31/2025
Withdrawn	Non Resident	Agent	Personal Lines
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Homesite Insurance Company	301139	Agent - Casualty	3/12/2021
Active	Homesite Insurance Company	301139	Agent - Property	3/12/2021
Active	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	3/12/2021
Active	Homesite Insurance Company of the Midwest	874850	Agent - Property	3/12/2021
Active	Midvale Indemnity Company	300292	Agent - Casualty	3/12/2021
Active	Midvale Indemnity Company	300292	Agent - Property	3/12/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Rose, Andrew Paul	797937	Agent - Casualty	3/5/2021
Active	Rose, Andrew Paul	797937	Agent - Property	3/5/2021