DEPARTMENT OF INSURANCE
Affiliations
NameFields, Chance DOIID1308847NAIC NPN20831570
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentCasualty11/3/2023 7/31/2025
ActiveNon ResidentAgentProperty11/3/2023 7/31/2025
* 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
Agent05/15/202507/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBristol West Insurance Company301655Agent - Casualty3/13/202410/23/2024
InactiveBristol West Insurance Company301655Agent - Property3/13/202410/23/2024
InactiveFarmers Direct Property and Casualty Insurance Company300957Agent - Casualty3/13/202410/23/2024
InactiveFarmers Direct Property and Casualty Insurance Company300957Agent - Property3/13/202410/23/2024
InactiveFarmers Property and Casualty Insurance Company301237Agent - Casualty3/13/202410/23/2024
InactiveFarmers Property and Casualty Insurance Company301237Agent - Property3/13/202410/23/2024
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty3/13/202410/23/2024
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property3/13/202410/23/2024
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
DeniedInsurancezebra Inc794167Agent - Casualty  
DeniedInsurancezebra Inc794167Agent - Property  

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