DEPARTMENT OF INSURANCE
Affiliations
NameKeene, Paris MonetDOIID1131852NAIC NPN19457150
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentCasualty4/28/20217/31/2022 
InactiveNon ResidentAgentProperty4/28/20217/31/2022 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBristol West Insurance Company301655Agent - Casualty9/8/20211/13/2022
InactiveBristol West Insurance Company301655Agent - Property9/8/20211/13/2022
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty9/8/20217/19/2022
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property9/8/20217/19/2022
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAwl Insurance Agency Inc945504Agent - Casualty9/17/20217/19/2022
InactiveAwl Insurance Agency Inc945504Agent - Property9/17/20217/19/2022

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