DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Van Der Woodsen, Monica	DOIID	1252524	NAIC NPN	20589381

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	1/23/2023		8/31/2025
Active	Non Resident	Agent	Casualty	1/23/2023		8/31/2025
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	1/26/2023	3/14/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/26/2023	3/14/2023
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	1/26/2023	3/14/2023
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	1/26/2023	3/14/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fx Insurance Agency, LLC	646184	Agent - Casualty	1/26/2023	3/14/2023
Inactive	Fx Insurance Agency, LLC	646184	Agent - Property	1/26/2023	3/14/2023