DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ortiz, Jose Fernando	DOIID	1208484	NAIC NPN	16223118

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	6/1/2022		1/31/2025
Active	Non Resident	Agent	Casualty	6/1/2022		1/31/2025
Active	Non Resident	Agent	Property	6/1/2022		1/31/2025
Active	Non Resident	Agent	Health	6/1/2022		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

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	11/15/2024	01/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Strategic Insurance Corp	883540	Agent - Casualty	2/9/2023
Active	American Strategic Insurance Corp	883540	Agent - Property	2/9/2023
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	9/9/2022	11/30/2022
Inactive	Bristol West Insurance Company	301655	Agent - Property	9/9/2022	11/30/2022
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	8/12/2022	11/30/2022
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	8/12/2022	11/30/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/12/2022	11/30/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/12/2022	11/30/2022
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	10/7/2022	12/1/2022
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	10/7/2022	12/1/2022
Inactive	Grange Insurance Company	300234	Agent - Casualty	10/7/2022	12/1/2022
Inactive	Grange Insurance Company	300234	Agent - Property	10/7/2022	12/1/2022
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	10/7/2022	12/1/2022
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	10/7/2022	12/1/2022
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	10/7/2022	12/1/2022
Inactive	Trustgard Insurance Company	300104	Agent - Property	10/7/2022	12/1/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Insurtech Groups LLC	1209103	Agent - Casualty	7/6/2023
Denied	Insurtech Groups LLC	1209103	Agent - Life
Denied	Insurtech Groups LLC	1209103	Agent - Health
Active	Insurtech Groups LLC	1209103	Agent - Property	7/6/2023
Active	J & J Insurance LLC	1208798	Agent - Casualty	2/10/2023
Denied	J & J Insurance LLC	1208798	Agent - Life
Denied	J & J Insurance LLC	1208798	Agent - Health
Active	J & J Insurance LLC	1208798	Agent - Property	2/10/2023