DEPARTMENT OF INSURANCE
Affiliations
NameBluma Wallace, Adam DavidDOIID1174819NAIC NPN20155863
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentProperty12/1/2021 1/31/2025
ActiveNon ResidentAgentCasualty12/1/2021 1/31/2025
* 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
Agent11/15/202401/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty5/17/20225/16/2023
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property5/17/20225/16/2023
InactiveIntegon National Insurance Company301600Agent - Casualty12/2/202112/3/2021
InactiveIntegon National Insurance Company301600Agent - Property12/2/202112/3/2021
InactiveNational General Insurance Company300152Agent - Casualty12/2/20217/10/2023
InactiveNational General Insurance Company300152Agent - Property12/2/20217/10/2023
InactiveSafe Auto Insurance Company300419Agent - Casualty11/1/20227/10/2023
InactiveSafe Auto Insurance Company300419Agent - Property11/1/20227/10/2023
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAffinity Brokerage, LLC544886Agent - Casualty2/23/20227/10/2023
InactiveAffinity Brokerage, LLC544886Agent - Property2/23/20227/10/2023
InactiveCWI, LLC662170Agent - Casualty2/23/20227/10/2023
InactiveCWI, LLC662170Agent - Property2/23/20227/10/2023
InactiveCamping World Insurance Services of Kentucky, LLC663187Agent - Casualty2/23/20227/10/2023
InactiveCamping World Insurance Services of Kentucky, LLC663187Agent - Property2/23/20227/10/2023
InactiveDirect General Insurance Agency Inc1018980Agent - Casualty2/23/20227/10/2023
InactiveDirect General Insurance Agency Inc1018980Agent - Property2/23/20227/10/2023
InactiveNational General Ins Marketing Inc621228Agent - Casualty2/23/20227/10/2023
InactiveNational General Ins Marketing Inc621228Agent - Property2/23/20227/10/2023
InactiveSafe Auto Group Agency Inc557065Agent - Casualty11/2/20227/10/2023
InactiveSafe Auto Group Agency Inc557065Agent - Property11/2/20227/10/2023

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