DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ta, Haitrieu Cong	DOIID	1128852	NAIC NPN	4805400

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		3/31/2025
Active	Non Resident	Agent	Property	4/10/2021		3/31/2025
* 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	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/23/2021
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/23/2021
Active	Stillwater Insurance Company	567181	Agent - Casualty	4/12/2024
Active	Stillwater Insurance Company	567181	Agent - Property	4/12/2024

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	2/21/2022
Active	Blend Insurance Agency, Inc.	987571	Agent - Property	2/21/2022