DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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		3/31/2027
Active	Non Resident	Agent	Property	3/5/2021		3/31/2027
Withdrawn	Non Resident	Agent	Personal Lines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.

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