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DEPARTMENT OF INSURANCE
Affiliations
Name
Bluma Wallace, Adam David
DOIID
1174819
NAIC NPN
20155863
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Casualty
12/1/2021
1/31/2025
Inactive
Non Resident
Agent
Property
12/1/2021
1/31/2025
* If a status Is
Pending, Pending Replacement
,Or the record displays
Affidavit On File
, click On them For more details.
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
5/17/2022
5/16/2023
Inactive
Foremost Insurance Company Grand Rapids, Michigan
301027
Agent - Property
5/17/2022
5/16/2023
Inactive
Integon National Insurance Company
301600
Agent - Casualty
12/2/2021
12/3/2021
Inactive
Integon National Insurance Company
301600
Agent - Property
12/2/2021
12/3/2021
Inactive
National General Insurance Company
300152
Agent - Casualty
12/2/2021
7/10/2023
Inactive
National General Insurance Company
300152
Agent - Property
12/2/2021
7/10/2023
Inactive
Safe Auto Insurance Company
300419
Agent - Casualty
11/1/2022
7/10/2023
Inactive
Safe Auto Insurance Company
300419
Agent - Property
11/1/2022
7/10/2023
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Affinity Brokerage, LLC
544886
Agent - Casualty
2/23/2022
7/10/2023
Inactive
Affinity Brokerage, LLC
544886
Agent - Property
2/23/2022
7/10/2023
Inactive
CWI, LLC
662170
Agent - Casualty
2/23/2022
7/10/2023
Inactive
CWI, LLC
662170
Agent - Property
2/23/2022
7/10/2023
Inactive
Camping World Insurance Services of Kentucky, LLC
663187
Agent - Casualty
2/23/2022
7/10/2023
Inactive
Camping World Insurance Services of Kentucky, LLC
663187
Agent - Property
2/23/2022
7/10/2023
Inactive
Direct General Insurance Agency Inc
1018980
Agent - Casualty
2/23/2022
7/10/2023
Inactive
Direct General Insurance Agency Inc
1018980
Agent - Property
2/23/2022
7/10/2023
Inactive
National General Ins Marketing Inc
621228
Agent - Casualty
2/23/2022
7/10/2023
Inactive
National General Ins Marketing Inc
621228
Agent - Property
2/23/2022
7/10/2023
Inactive
Safe Auto Group Agency Inc
557065
Agent - Casualty
11/2/2022
7/10/2023
Inactive
Safe Auto Group Agency Inc
557065
Agent - Property
11/2/2022
7/10/2023
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