DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Domingue, Malerie Marie	DOIID	1258968	NAIC NPN	18511730

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	3/2/2023		9/30/2026
Active	Non Resident	Agent	Property	3/2/2023		9/30/2026
* 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
Active	Bristol West Insurance Company	301655	Agent - Casualty	5/2/2023
Active	Bristol West Insurance Company	301655	Agent - Property	5/2/2023
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	5/2/2023
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Property	5/2/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	5/2/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	5/2/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Goosehead Insurance Agency, Llc	971836	Agent - Casualty	5/2/2023
Active	Goosehead Insurance Agency, Llc	971836	Agent - Property	5/2/2023