DEPARTMENT OF INSURANCE

Affiliations

Name	AIS Insurance Agency, Inc.	DOIID	518334	NAIC NPN	659782

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	12/26/2001	2/4/2008
Inactive	Non Resident	Agent	Casualty	12/26/2001	2/4/2008
* 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	ACE American Insurance Company	300625	Agent - Casualty	7/11/2003	2/4/2008
Inactive	ACE American Insurance Company	300625	Agent - Property	7/11/2003	2/4/2008
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	7/18/2003	2/4/2008
Inactive	American Family Home Insurance Company	301817	Agent - Property	7/18/2003	2/4/2008
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	9/27/2004	2/4/2008
Inactive	American Modern Home Insurance Company	300791	Agent - Property	9/27/2004	2/4/2008
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	7/10/2006	2/4/2008
Inactive	American Modern Select Insurance Company	581481	Agent - Property	7/10/2006	2/4/2008
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	8/9/2007	2/4/2008
Inactive	American Southern Home Insurance Company	626276	Agent - Property	8/9/2007	2/4/2008
Inactive	American and Foreign Insurance Company	301124	Agent - Casualty	12/26/2001	12/31/2004
Inactive	American and Foreign Insurance Company	301124	Agent - Property	12/26/2001	12/31/2004
Inactive	Arrowood Indemnity Company	300144	Agent - Casualty	12/31/2004	10/17/2005
Inactive	Arrowood Indemnity Company	300144	Agent - Property	12/31/2004	10/17/2005
Inactive	Employers' Fire Insurance Company (The)	301255	Agent - Casualty	3/25/2005	2/4/2008
Inactive	Employers' Fire Insurance Company (The)	301255	Agent - Property	3/25/2005	2/4/2008
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/7/2003	3/28/2006
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/7/2003	3/28/2006
Inactive	National Interstate Insurance Company	301301	Agent - Casualty	7/20/2005	10/15/2007
Inactive	National Interstate Insurance Company	301301	Agent - Property	7/20/2005	10/15/2007
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	7/11/2003	2/4/2008
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	7/11/2003	2/4/2008
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	3/24/2004	5/31/2007
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	3/24/2004	5/31/2007
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	11/24/2003	5/31/2007
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	11/24/2003	5/31/2007
Inactive	RLI Insurance Company	301217	Agent - Casualty	9/25/2003	9/26/2007
Inactive	RLI Insurance Company	301217	Agent - Property	9/25/2003	9/26/2007
Inactive	United Financial Casualty Company	301886	Agent - Casualty	12/7/2005	5/31/2007
Inactive	United Financial Casualty Company	301886	Agent - Property	12/7/2005	5/31/2007

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Benn, Brock L	363358	Agent - Casualty	1/31/2005	2/4/2008
Inactive	Benn, Brock L	363358	Agent - Property	1/31/2005	2/4/2008
Denied	Buczko, Mark John	596009	Agent - Casualty
Denied	Buczko, Mark John	596009	Agent - Property
Denied	Ingle, Jackie Wayne	545974	Agent - Casualty
Denied	Ingle, Jackie Wayne	545974	Agent - Property
Inactive	Johnson, Calvin Roy	308493	Agent - Casualty	12/27/2006	2/4/2008
Inactive	Johnson, Calvin Roy	308493	Agent - Property	12/27/2006	2/4/2008
Denied	Kruse, James A	382779	Agent - Casualty
Denied	Kruse, James A	382779	Agent - Property
Inactive	Meister, Kurt L	504240	Agent - Casualty	12/26/2001	7/17/2006
Inactive	Meister, Kurt L	504240	Agent - Property	12/26/2001	7/17/2006
Inactive	Miksch, Michelle	611176	Agent - Casualty	7/17/2006	10/31/2007
Inactive	Miksch, Michelle	611176	Agent - Property	7/17/2006	10/31/2007