DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Martinez, Annabell	DOIID	1213910	NAIC NPN	15835773

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	6/29/2022		5/31/2025
Active	Non Resident	Agent	Casualty	6/29/2022		5/31/2025
* 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
Active	Dairyland Insurance Company	301370	Agent - Casualty	7/8/2022
Active	Dairyland Insurance Company	301370	Agent - Property	7/8/2022
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/19/2022
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/19/2022
Active	Sentry Select Insurance Company	301648	Agent - Casualty	7/8/2022
Active	Sentry Select Insurance Company	301648	Agent - Property	7/8/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Parker Stevens Agency LLC	558419	Agent - Casualty	7/19/2022
Active	Parker Stevens Agency LLC	558419	Agent - Property	7/19/2022