DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Guzman, Jeanette	DOIID	1244519	NAIC NPN	20354419

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	11/30/2022	3/31/2024
Inactive	Non Resident	Agent	Casualty	11/30/2022	3/31/2024
* 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	American Family Connect Property and Casualty Insurance Company	622403	Agent - Casualty	12/9/2022	7/26/2023
Inactive	American Family Connect Property and Casualty Insurance Company	622403	Agent - Property	12/9/2022	7/26/2023
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	12/20/2022	8/2/2023
Inactive	Bristol West Insurance Company	301655	Agent - Property	12/20/2022	8/2/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	12/20/2022	8/2/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	12/20/2022	8/2/2023
Inactive	Homesite Insurance Company	301139	Agent - Casualty	12/22/2022	7/26/2023
Inactive	Homesite Insurance Company	301139	Agent - Property	12/22/2022	7/26/2023
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	12/22/2022	7/26/2023
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Property	12/22/2022	7/26/2023
Inactive	Midvale Indemnity Company	300292	Agent - Casualty	12/22/2022	7/26/2023
Inactive	Midvale Indemnity Company	300292	Agent - Property	12/22/2022	7/26/2023
Inactive	RLI Insurance Company	301217	Agent - Casualty	12/22/2022	7/26/2023
Inactive	RLI Insurance Company	301217	Agent - Property	12/22/2022	7/26/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Connect Insurance Agency, Inc.	619157	Agent - Casualty	12/16/2022	8/2/2023
Inactive	American Family Connect Insurance Agency, Inc.	619157	Agent - Property	12/16/2022	8/2/2023