DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Bouchard, Susan Estelle	DOIID	567456	NAIC NPN	7500339

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	4/28/2010	4/2/2013
Inactive	Non Resident	Agent	Casualty	4/28/2010	4/2/2013
* 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	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	2/6/2013	2/14/2013
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	2/6/2013	2/14/2013
Inactive	Government Employees Insurance Company	300376	Agent - Casualty	4/7/2003	2/7/2006
Inactive	Government Employees Insurance Company	300376	Agent - Property	4/7/2003	2/7/2006
Inactive	Homesite Insurance Company	301139	Agent - Casualty	1/7/2013	4/2/2013
Inactive	Homesite Insurance Company	301139	Agent - Property	1/7/2013	4/2/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Geico Insurance Agency, LLC	558517	Agent - Casualty	1/21/2004	2/7/2006
Inactive	Geico Insurance Agency, LLC	558517	Agent - Property	1/21/2004	2/7/2006