DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Short Iv, William	DOIID	1311583	NAIC NPN	20975444

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	11/21/2023		8/31/2025
Active	Non Resident	Agent	Casualty	11/21/2023		8/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	06/15/2025	08/31/2025

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	11/28/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/28/2023
Active	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	11/28/2023
Active	Foremost Property and Casualty Insurance Company	300871	Agent - Property	11/28/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Fx Insurance Agency, LLC	646184	Agent - Casualty	11/28/2023
Active	Fx Insurance Agency, LLC	646184	Agent - Property	11/28/2023