DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Lipetzky, Lacy Corrine	DOIID	1307918	NAIC NPN	17370474

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	3/12/2024		9/30/2025
Active	Non Resident	Agent	Property	10/31/2023		9/30/2025
Active	Non Resident	Agent	Life	3/12/2024		9/30/2025
Active	Non Resident	Agent	Casualty	10/31/2023		9/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

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	12/19/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	12/19/2023
Inactive	National General Insurance Company	300152	Agent - Casualty	12/7/2023	10/11/2024
Inactive	National General Insurance Company	300152	Agent - Property	12/7/2023	10/11/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Affinity Brokerage, LLC	544886	Agent - Casualty	12/7/2023	10/14/2024
Inactive	Affinity Brokerage, LLC	544886	Agent - Property	12/7/2023	10/14/2024
Inactive	CWI, LLC	662170	Agent - Casualty	12/7/2023	4/29/2024
Inactive	CWI, LLC	662170	Agent - Property	12/7/2023	4/29/2024
Inactive	Direct General Insurance Agency Inc	1018980	Agent - Casualty	12/9/2023	10/14/2024
Inactive	Direct General Insurance Agency Inc	1018980	Agent - Property	12/9/2023	10/14/2024
Inactive	National General Ins Marketing Inc	621228	Agent - Casualty	12/7/2023	10/14/2024
Inactive	National General Ins Marketing Inc	621228	Agent - Property	12/7/2023	10/14/2024