DEPARTMENT OF INSURANCE
Affiliations
NameTa, Haitrieu CongDOIID1128852NAIC NPN4805400
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentCasualty4/10/2021 3/31/2027
ActiveNon ResidentAgentProperty4/10/2021 3/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202503/31/202501/07/202501/07/2025Yes
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveBranch Insurance Exchange1143306Agent - Casualty3/12/2025 
ActiveBranch Insurance Exchange1143306Agent - Property3/12/2025 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty4/23/2021 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property4/23/2021 
ActiveStandard Fire Insurance Company (The)301068Agent - Casualty3/27/2025 
ActiveStandard Fire Insurance Company (The)301068Agent - Property3/27/2025 
ActiveStillwater Insurance Company567181Agent - Casualty4/12/2024 
ActiveStillwater Insurance Company567181Agent - Property4/12/2024 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBlend Insurance Agency, Inc.987571Agent - Casualty2/21/20222/21/2025
InactiveBlend Insurance Agency, Inc.987571Agent - Property2/21/20222/21/2025
ActiveCovered Insurance Solutions LLC1000228Agent - Casualty10/2/2024 
ActiveCovered Insurance Solutions LLC1000228Agent - Property10/2/2024 

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