DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Miles, Nicole	DOIID	1129307	NAIC NPN	19855292

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	4/13/2021	9/30/2022
Inactive	Non Resident	Agent	Casualty	4/13/2021	9/30/2022
Active	Non Resident	Staff Adjuster	Property & Casualty	5/24/2022		9/30/2026
* 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
Staff Adjuster	07/15/2024	09/30/2024	07/10/2024	07/10/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/16/2021	3/11/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/16/2021	3/11/2022
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	4/16/2021	3/11/2022
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	4/16/2021	3/11/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fx Insurance Agency, LLC	646184	Agent - Casualty	4/20/2021	3/11/2022
Inactive	Fx Insurance Agency, LLC	646184	Agent - Property	4/20/2021	3/11/2022