PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameLipetzky, Lacy CorrineDOIID1307918NAIC NPN17370474
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth3/12/2024 9/30/2025
ActiveNon ResidentAgentProperty10/31/2023 9/30/2025
ActiveNon ResidentAgentLife3/12/2024 9/30/2025
ActiveNon ResidentAgentCasualty10/31/2023 9/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent07/15/202509/30/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty12/19/2023 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property12/19/2023 
InactiveNational General Insurance Company300152Agent - Casualty12/7/202310/11/2024
InactiveNational General Insurance Company300152Agent - Property12/7/202310/11/2024
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAffinity Brokerage, LLC544886Agent - Casualty12/7/202310/14/2024
InactiveAffinity Brokerage, LLC544886Agent - Property12/7/202310/14/2024
InactiveCWI, LLC662170Agent - Casualty12/7/20234/29/2024
InactiveCWI, LLC662170Agent - Property12/7/20234/29/2024
InactiveDirect General Insurance Agency Inc1018980Agent - Casualty12/9/202310/14/2024
InactiveDirect General Insurance Agency Inc1018980Agent - Property12/9/202310/14/2024
InactiveNational General Ins Marketing Inc621228Agent - Casualty12/7/202310/14/2024
InactiveNational General Ins Marketing Inc621228Agent - Property12/7/202310/14/2024

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