DEPARTMENT OF INSURANCE
Affiliations
NameCovertree IncDOIID1224075NAIC NPN19950811
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth8/18/2022 3/31/2026
ActiveNon ResidentAgentProperty8/18/2022 3/31/2026
ActiveNon ResidentAgentLife8/18/2022 3/31/2026
ActiveNon ResidentAgentCasualty8/18/2022 3/31/2026
ActiveNon ResidentSurplus Lines BrokerNot Applicable4/26/2023 3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202603/31/2026   
Surplus Lines Broker01/15/202603/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBristol West Insurance Company301655Agent - Casualty2/20/202312/20/2024
InactiveBristol West Insurance Company301655Agent - Property2/20/202312/20/2024
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty1/10/2023 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property1/10/2023 
ActiveMarkel American Insurance Company300377Agent - Casualty9/5/2022 
ActiveMarkel American Insurance Company300377Agent - Property9/5/2022 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveClark, Joshua Edward 1010470Agent - Casualty8/18/2022 
ActiveClark, Joshua Edward 1010470Agent - Health8/18/2022 
ActiveClark, Joshua Edward 1010470Agent - Life8/18/2022 
ActiveClark, Joshua Edward 1010470Agent - Property8/18/2022 
ActiveClark, Joshua Edward 1010470Surplus Lines Broker - Not Applicable4/26/2023 

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