DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Verma, Amit	DOIID	1180292	NAIC NPN	17353128

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	12/28/2021		2/28/2025
Active	Non Resident	Agent	Property	12/28/2021		2/28/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	6/11/2024		2/28/2027
* 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	Bristol West Insurance Company	301655	Agent - Casualty	3/22/2022	9/21/2023
Inactive	Bristol West Insurance Company	301655	Agent - Property	3/22/2022	9/21/2023
Active	Clear Blue Insurance Company	517511	Agent - Casualty	11/28/2023
Active	Clear Blue Insurance Company	517511	Agent - Property	11/28/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/22/2022	9/21/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/22/2022	9/21/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Caribou Insurance Services LLC	1182834	Agent - Casualty	12/22/2023
Active	Caribou Insurance Services LLC	1182834	Agent - Property	12/22/2023
Active	STP Insurance Services LLC	1345221	Agent - Casualty	6/13/2024
Active	STP Insurance Services LLC	1345221	Agent - Property	6/13/2024
Pending	STP Insurance Services LLC	1345221	Surplus Lines Broker - Not Applicable