DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Shirley, Mark W	DOIID	1231865	NAIC NPN	20472208

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Casualty	10/19/2022	4/1/2024
Inactive	Resident	Agent	Property	10/19/2022	4/1/2024
* 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
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	11/2/2022	4/1/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	11/2/2022	4/1/2024
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/2/2022	12/20/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/2/2022	12/20/2023
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	10/21/2022	4/3/2023
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	10/21/2022	4/3/2023
Inactive	United Financial Casualty Company	301886	Agent - Casualty	10/21/2022	4/3/2023
Inactive	United Financial Casualty Company	301886	Agent - Property	10/21/2022	4/3/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Secure Choice Insurance LLC	1090982	Agent - Casualty	11/17/2022	4/1/2024
Inactive	Secure Choice Insurance LLC	1090982	Agent - Property	11/17/2022	4/1/2024