DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kornelis, Thomas Sydney	DOIID	382154	NAIC NPN	230470

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	8/15/2000	2/28/2017
Inactive	Non Resident	Agent	Casualty	8/15/2000	2/28/2017
Inactive	Non Resident	Agent	General Lines	8/22/1991	8/15/2000
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	BCS Insurance Company	300294	Agent - Casualty	8/26/2003	2/17/2017
Inactive	BCS Insurance Company	300294	Agent - Property	8/26/2003	2/17/2017
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	6/19/2013	2/28/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	6/19/2013	2/28/2017
Inactive	Continental Insurance Company (The)	301242	Agent - Casualty	8/15/2000	12/28/2001
Inactive	Continental Insurance Company (The)	301242	Agent - General Lines	8/22/1991	8/15/2000
Inactive	Continental Insurance Company (The)	301242	Agent - Property	8/15/2000	12/28/2001
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/19/2013	2/28/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/19/2013	2/28/2017
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	6/19/2013	7/28/2016
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	6/19/2013	7/28/2016
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	6/19/2013	7/28/2016
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	6/19/2013	7/28/2016
Inactive	Insurance Company of the West	301520	Agent - Casualty	8/15/2000	3/1/2012
Inactive	Insurance Company of the West	301520	Agent - General Lines	7/18/1996	8/15/2000
Inactive	Insurance Company of the West	301520	Agent - Property	8/15/2000	3/1/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	12/22/2010	9/8/2016
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	12/22/2010	9/8/2016