DEPARTMENT OF INSURANCE

Affiliations

Name	Martin, Michael Ross	DOIID	556703	NAIC NPN	830002

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	10/21/2002	1/31/2028
Active	Non Resident	Agent	Health	9/26/2019	1/31/2028
Active	Non Resident	Agent	Life	9/27/2019	1/31/2028
Active	Non Resident	Agent	Casualty	10/21/2002	1/31/2028
Active	Non Resident	Surplus Lines Broker	Not Applicable	12/17/2019	1/31/2028
* 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
Active	ACE American Insurance Company	300625	Agent - Casualty	8/6/2015
Active	ACE American Insurance Company	300625	Agent - Property	8/6/2015
Active	AIG Property Casualty Company	300621	Agent - Casualty	5/16/2017
Active	AIG Property Casualty Company	300621	Agent - Property	5/16/2017
Active	Accident Fund General Insurance Company	626282	Agent - Casualty	5/20/2008
Active	Accident Fund Insurance Company of America	518734	Agent - Casualty	5/20/2008
Active	Accident Fund National Insurance Company	626286	Agent - Casualty	5/20/2008
Active	Auto-Owners Insurance Company	301480	Agent - Casualty	12/22/2004
Active	Auto-Owners Insurance Company	301480	Agent - Property	12/22/2004
Active	Bankers Standard Insurance Company	301620	Agent - Casualty	8/6/2015
Active	Bankers Standard Insurance Company	301620	Agent - Property	8/6/2015
Inactive	Berkley Insurance Company	301355	Agent - Casualty	11/6/2024	5/14/2025
Inactive	Berkley Insurance Company	301355	Agent - Property	11/6/2024	5/14/2025
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Life	7/22/2020
Active	Federal Insurance Company	301144	Agent - Casualty	3/25/2003
Active	Federal Insurance Company	301144	Agent - Property	3/25/2003
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	2/21/2013
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	2/21/2013
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	2/21/2013	8/29/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	2/21/2013	8/29/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	2/21/2013	8/29/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	2/21/2013	8/29/2018
Active	Indemnity Insurance Company of North America	301760	Agent - Casualty	8/6/2015
Active	Indemnity Insurance Company of North America	301760	Agent - Property	8/6/2015
Active	Owners Insurance Company	300796	Agent - Casualty	10/23/2008
Active	Owners Insurance Company	300796	Agent - Property	10/23/2008
Active	Pacific Employers Insurance Company	301753	Agent - Casualty	8/6/2015
Active	Pacific Employers Insurance Company	301753	Agent - Property	8/6/2015
Inactive	United Wisconsin Insurance Company	301103	Agent - Casualty	11/12/2008	3/28/2011
Active	Westfield Insurance Company	301950	Agent - Casualty	10/5/2015
Active	Westfield Insurance Company	301950	Agent - Property	10/5/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Martin And Zerfoss Inc	556924	Agent - Casualty	5/21/2003
Active	Martin And Zerfoss Inc	556924	Agent - Property	5/21/2003
Active	Martin And Zerfoss Inc	556924	Agent - Life	7/22/2020
Active	Martin And Zerfoss Inc	556924	Agent - Health	6/16/2021
Active	Martin And Zerfoss Inc	556924	Surplus Lines Broker - Not Applicable	7/21/2020