DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Derezinski, Angela Marie	DOIID	545832	NAIC NPN	2939037

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	3/1/2002	6/30/2019
Inactive	Non Resident	Agent	Casualty	3/1/2002	6/30/2019
* 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	American Modern Select Insurance Company	581481	Agent - Casualty	10/11/2016	9/20/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Property	10/11/2016	9/20/2018
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	10/11/2016	9/20/2018
Inactive	American Southern Home Insurance Company	626276	Agent - Property	10/11/2016	9/20/2018
Inactive	Armed Forces Insurance Exchange	301448	Agent - Casualty	3/1/2002	9/11/2018
Inactive	Armed Forces Insurance Exchange	301448	Agent - Property	3/1/2002	9/11/2018
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	7/24/2012	9/27/2018
Inactive	Bristol West Insurance Company	301655	Agent - Property	7/24/2012	9/27/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/6/2012	9/27/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/6/2012	9/27/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	12/20/2015	8/21/2017
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	12/20/2015	8/21/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	12/20/2015	8/21/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	12/20/2015	8/21/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Armed Forces Ins Agency Inc -000	553779	Agent - Casualty	5/7/2012	9/13/2018
Inactive	Armed Forces Ins Agency Inc -000	553779	Agent - Property	5/7/2012	9/13/2018