DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Starbuck, Roxanne Marie	DOIID	518791	NAIC NPN	2901361

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	5/7/2003	10/21/2003
Inactive	Non Resident	Agent	Casualty	12/4/2000	10/21/2003
* 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	Dairyland Insurance Company	301370	Agent - Casualty	12/4/2000	10/21/2003
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/4/2003	10/21/2003
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/4/2003	10/21/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Harley-Davidson Ins Services Inc	545855	Agent - Casualty	8/5/2003	10/21/2003
Inactive	Harley-Davidson Ins Services Inc	545855	Agent - Property	8/5/2003	10/21/2003