DEPARTMENT OF INSURANCE

Affiliations

Name	Mikolajczak-Busby, Rachael Lynn	DOIID	1195960	NAIC NPN	16835348

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	3/29/2022	3/31/2025
Active	Non Resident	Agent	Property	3/29/2022	3/31/2025
Active	Non Resident	Agent	Life	3/29/2022	3/31/2025
Active	Non Resident	Agent	Health	3/29/2022	3/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Bristol West Insurance Company	301655	Agent - Casualty	11/2/2022
Inactive	Bristol West Insurance Company	301655	Agent - Property	11/2/2022	1/13/2023
Active	Dairyland Insurance Company	301370	Agent - Casualty	4/21/2023
Active	Dairyland Insurance Company	301370	Agent - Property	4/21/2023
Active	Erie Family Life Insurance Company	301400	Agent - Life	9/1/2022
Active	Erie Insurance Company	300230	Agent - Casualty	9/1/2022
Active	Erie Insurance Company	300230	Agent - Property	9/1/2022
Active	Erie Insurance Exchange	300789	Agent - Casualty	9/1/2022
Active	Erie Insurance Exchange	300789	Agent - Property	9/1/2022
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	1/13/2023
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Property	1/13/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/2/2022
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/2/2022
Inactive	Integon Indemnity Corporation	300674	Agent - Casualty	6/14/2022	8/31/2022
Inactive	Integon Indemnity Corporation	300674	Agent - Property	6/14/2022	8/31/2022
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	11/15/2022
Active	Progressive Casualty Insurance Company	300696	Agent - Property	11/15/2022
Active	Trexis One Insurance Corporation	684197	Agent - Casualty	11/11/2022
Active	United Financial Casualty Company	301886	Agent - Casualty	11/15/2022
Active	United Financial Casualty Company	301886	Agent - Property	11/15/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Direct General Insurance Agency Inc	1018980	Agent - Casualty	6/14/2022	8/31/2022
Inactive	Direct General Insurance Agency Inc	1018980	Agent - Life	9/1/2022	5/29/2024
Denied	Direct General Insurance Agency Inc	1018980	Agent - Health
Inactive	Direct General Insurance Agency Inc	1018980	Agent - Property	6/14/2022	8/31/2022
Inactive	National General Ins Marketing Inc	621228	Agent - Casualty	6/14/2022	8/31/2022
Inactive	National General Ins Marketing Inc	621228	Agent - Life	9/1/2022	5/29/2024
Denied	National General Ins Marketing Inc	621228	Agent - Health
Inactive	National General Ins Marketing Inc	621228	Agent - Property	6/14/2022	8/31/2022