DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Green, Amber	DOIID	1179195	NAIC NPN	19675316

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	12/20/2021		8/31/2024
Active	Non Resident	Agent	Casualty	12/20/2021		8/31/2024
* 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
Agent	06/15/2024	08/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	2/21/2024
Active	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	2/21/2024
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	2/21/2024
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Property	2/21/2024
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	2/2/2022
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	2/2/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Horace Mann Service Corporation	400869	Agent - Casualty	2/2/2022
Active	Horace Mann Service Corporation	400869	Agent - Property	2/2/2022