DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Siebold, David Kirk	DOIID	1221251	NAIC NPN	18979941

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	8/4/2022		3/31/2026
Active	Non Resident	Agent	Property	8/4/2022		3/31/2026
* 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	Bristol West Insurance Company	301655	Agent - Casualty	9/20/2022
Active	Bristol West Insurance Company	301655	Agent - Property	9/20/2022
Active	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	3/3/2023
Active	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	3/3/2023
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	3/3/2023
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Property	3/3/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/20/2022
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/20/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Policygenius LLC	874468	Agent - Casualty	12/28/2023
Active	Policygenius LLC	874468	Agent - Property	12/28/2023