DEPARTMENT OF INSURANCE
Affiliations
NamePelchat, Thomas DOIID1237476NAIC NPN5409684
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentProperty2/19/2026 6/30/2027
ActiveNon ResidentAgentCasualty2/19/2026 6/30/2027
InactiveNon ResidentAgentPersonal Lines10/18/20226/30/2025 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBristol West Insurance Company301655Agent - Casualty3/10/20264/1/2026
InactiveBristol West Insurance Company301655Agent - Property3/10/20264/1/2026
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty3/10/20264/1/2026
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property3/10/20264/1/2026
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactivePatra Corporation804810Agent - Casualty3/10/20263/18/2026
InactivePatra Corporation804810Agent - Property3/10/20263/18/2026

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