DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Chang, Andrew Ankuo	DOIID	1128851	NAIC NPN	8171324

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	4/10/2021		10/31/2024
Active	Non Resident	Agent	Property	4/10/2021		10/31/2024
* 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	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	4/12/2021	4/14/2021
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	4/12/2021	4/14/2021
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/26/2021
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/26/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Blend Insurance Agency, Inc.	987571	Agent - Casualty	2/1/2022
Active	Blend Insurance Agency, Inc.	987571	Agent - Property	2/1/2022