DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Miller-Medendorp, Amy Joy	DOIID	516490	NAIC NPN	2898634

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	4/1/2004	4/26/2004
Active	Non Resident	Agent	Property	2/8/2010		2/28/2026
Active	Non Resident	Agent	Casualty	2/8/2010		2/28/2026
* 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	Assurance Company of America	300432	Agent - Casualty	2/14/2001	6/21/2002
Inactive	Assurance Company of America	300432	Agent - Property	2/21/2001	6/21/2002
Active	Bristol West Insurance Company	301655	Agent - Casualty	3/6/2020
Active	Bristol West Insurance Company	301655	Agent - Property	3/6/2020
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	2/12/2010
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	2/12/2010
Active	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	2/12/2010
Active	Foremost Property and Casualty Insurance Company	300871	Agent - Property	2/12/2010
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	2/12/2010	3/4/2014
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	2/12/2010	3/4/2014
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	2/21/2001	6/21/2002
Inactive	Glatfelter Insurance Company	301640	Agent - Property	2/21/2001	6/21/2002
Inactive	Maryland Casualty Company	301719	Agent - Casualty	2/21/2001	6/21/2002
Inactive	Maryland Casualty Company	301719	Agent - Property	2/21/2001	6/21/2002
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	2/21/2001	6/21/2002
Inactive	Northern Insurance Company of New York	301317	Agent - Property	2/21/2001	6/21/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Foremost Express Insurance Agency Inc.	515334	Agent - Property	12/18/2017	12/31/2018
Inactive	Foremost Express Insurance Agency Inc.	515334	Agent - Casualty	12/18/2017	12/31/2018
Active	Fx Insurance Agency, LLC	646184	Agent - Property	12/31/2018
Active	Fx Insurance Agency, LLC	646184	Agent - Casualty	12/31/2018