DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Palacios, Tara Leanne	DOIID	1307038	NAIC NPN	20849237

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	10/25/2023		4/30/2025
Active	Non Resident	Agent	Property	10/25/2023		4/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	02/15/2025	04/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	12/20/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	12/20/2023
Active	National General Insurance Company	300152	Agent - Casualty	10/26/2023
Active	National General Insurance Company	300152	Agent - Property	10/26/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Affinity Brokerage, LLC	544886	Agent - Casualty	10/31/2023
Active	Affinity Brokerage, LLC	544886	Agent - Property	10/31/2023
Inactive	CWI, LLC	662170	Agent - Casualty	10/31/2023	4/29/2024
Inactive	CWI, LLC	662170	Agent - Property	10/31/2023	4/29/2024
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Casualty	10/31/2023	4/29/2024
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Property	10/31/2023	4/29/2024
Active	Direct General Insurance Agency Inc	1018980	Agent - Casualty	10/31/2023
Active	Direct General Insurance Agency Inc	1018980	Agent - Property	10/31/2023
Active	National General Ins Marketing Inc	621228	Agent - Casualty	10/31/2023
Active	National General Ins Marketing Inc	621228	Agent - Property	10/31/2023