DEPARTMENT OF INSURANCE

Affiliations

Name	Fore, Tina M	DOIID	542470	NAIC NPN	5746259

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	9/23/2009	1/31/2019
Inactive	Non Resident	Agent	Casualty	9/23/2009	1/31/2019
* 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	21st Century North America Insurance Company	300884	Agent - Casualty	2/18/2002	9/19/2003
Inactive	21st Century North America Insurance Company	300884	Agent - Property	2/18/2002	9/19/2003
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	9/18/2015	4/16/2018
Inactive	American Family Home Insurance Company	301817	Agent - Property	9/18/2015	4/16/2018
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	10/28/2015	4/11/2018
Inactive	Bristol West Insurance Company	301655	Agent - Property	10/28/2015	4/11/2018
Inactive	Esurance Insurance Company	301072	Agent - Casualty	4/18/2014	6/22/2016
Inactive	Esurance Insurance Company	301072	Agent - Property	4/18/2014	6/22/2016
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	9/25/2009	4/4/2018
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	9/25/2009	4/4/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	5/5/2010	4/11/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	5/5/2010	4/11/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	12/17/2015	8/21/2017
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	12/17/2015	8/21/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	12/17/2015	8/21/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	12/17/2015	8/21/2017
Inactive	Rural Community Insurance Company	301891	Agent - Casualty	7/11/2014	3/5/2016
Inactive	Rural Community Insurance Company	301891	Agent - Property	7/11/2014	3/5/2016
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	9/8/2010	12/17/2012
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	9/8/2010	12/17/2012
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Casualty	11/4/2009	7/28/2017
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Property	11/4/2009	7/28/2017
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Casualty	11/4/2009	12/2/2013
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Property	11/4/2009	12/2/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Casualty	11/9/2009	4/2/2018
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Property	11/9/2009	4/2/2018