DEPARTMENT OF INSURANCE
Affiliations
NameLake, Connecia DOIID1386190NAIC NPN20456114
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentPersonal Lines2/24/2025 9/30/2028
* 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
Agent07/15/202609/30/202608/14/202608/14/2026Yes
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBristol West Insurance Company301655Agent - Personal Lines4/18/20254/20/2025
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Personal Lines4/18/20254/20/2025
InactiveRoot Insurance Company964834Agent - Personal Lines9/16/20259/25/2025
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
PendingRate Insurance LLC791806Agent - Personal Lines  

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