DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bombik, Maxwell	DOIID	1323637	NAIC NPN	18866979

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	2/12/2024		3/31/2025
Active	Non Resident	Agent	Life	2/12/2024		3/31/2025
Active	Non Resident	Agent	Casualty	2/12/2024		3/31/2025
Active	Non Resident	Agent	Health	2/12/2024		3/31/2025
* 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	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Direct General Life Insurance Company	301045	Agent - Life	2/13/2024
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/11/2024
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/11/2024
Active	National General Insurance Company	300152	Agent - Casualty	2/13/2024
Active	National General Insurance Company	300152	Agent - Property	2/13/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Affinity Brokerage, LLC	544886	Agent - Casualty	2/15/2024
Active	Affinity Brokerage, LLC	544886	Agent - Property	2/15/2024
Active	Direct General Insurance Agency Inc	1018980	Agent - Casualty	2/15/2024
Active	Direct General Insurance Agency Inc	1018980	Agent - Property	2/15/2024
Active	National General Ins Marketing Inc	621228	Agent - Casualty	2/15/2024
Active	National General Ins Marketing Inc	621228	Agent - Property	2/15/2024