DEPARTMENT OF INSURANCE
Affiliations
NameBombik, Maxwell DOIID1323637NAIC NPN18866979
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentCasualty2/12/2024 3/31/2027
ActiveNon ResidentAgentLife2/12/2024 3/31/2027
ActiveNon ResidentAgentProperty2/12/2024 3/31/2027
ActiveNon ResidentAgentHealth2/12/2024 3/31/2027
* 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
Agent01/15/202703/31/2027   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllstate Indemnity Company300778Agent - Casualty3/5/202510/16/2025
InactiveAllstate Indemnity Company300778Agent - Property3/5/202510/16/2025
InactiveAllstate Insurance Company300773Agent - Casualty3/5/202510/16/2025
InactiveAllstate Insurance Company300773Agent - Property3/5/202510/16/2025
InactiveAllstate North America Insurance Company1121481Agent - Casualty7/24/202510/16/2025
InactiveAllstate North America Insurance Company1121481Agent - Property7/24/202510/16/2025
InactiveAllstate Property and Casualty Insurance Company300593Agent - Casualty3/5/202510/16/2025
InactiveAllstate Property and Casualty Insurance Company300593Agent - Property3/5/202510/16/2025
InactiveAllstate Vehicle & Property Insurance Company301429Agent - Casualty3/5/202510/16/2025
InactiveAllstate Vehicle & Property Insurance Company301429Agent - Property3/5/202510/16/2025
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty6/11/2024 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property6/11/2024 
InactiveIntegon General Insurance Corporation301186Agent - Casualty3/24/202510/22/2025
InactiveIntegon General Insurance Corporation301186Agent - Property3/24/202510/22/2025
InactiveIntegon Indemnity Corporation300674Agent - Casualty1/15/202510/22/2025
InactiveIntegon Indemnity Corporation300674Agent - Property1/15/202510/22/2025
InactiveNational General Insurance Company300152Agent - Casualty2/13/202410/22/2025
InactiveNational General Insurance Company300152Agent - Property2/13/202410/22/2025
InactiveNationwide Life and Benefits Insurance Company301045Agent - Life2/13/202410/22/2025
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAffinity Brokerage, LLC544886Agent - Casualty2/15/202410/22/2025
InactiveAffinity Brokerage, LLC544886Agent - Property2/15/202410/22/2025
InactiveDirect General Insurance Agency Inc1018980Agent - Casualty2/15/202410/22/2025
InactiveDirect General Insurance Agency Inc1018980Agent - Property2/15/202410/22/2025
InactiveNational General Ins Marketing Inc621228Agent - Casualty2/15/202410/22/2025
InactiveNational General Ins Marketing Inc621228Agent - Property2/15/202410/22/2025

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