DEPARTMENT OF INSURANCE

Affiliations

Name	Thomas, Delores Annette	DOIID	572431	NAIC NPN	3573183

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	7/1/2003	7/31/2004
Active	Non Resident	Agent	Life	2/23/2024		5/31/2026
Active	Non Resident	Agent	Casualty	2/23/2024		5/31/2026
Active	Non Resident	Agent	Property	2/23/2024		5/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	03/15/2026	05/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	10/4/2012	4/2/2015
Inactive	American Family Home Insurance Company	301817	Agent - Property	10/4/2012	4/2/2015
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	10/4/2012	4/2/2015
Inactive	American Modern Home Insurance Company	300791	Agent - Property	10/4/2012	4/2/2015
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	10/4/2012	4/2/2015
Inactive	American Modern Select Insurance Company	581481	Agent - Property	10/4/2012	4/2/2015
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	4/19/2017	11/20/2023
Inactive	Bristol West Insurance Company	301655	Agent - Property	4/19/2017	11/20/2023
Active	CMFG Life Insurance Company	300929	Agent - Life	2/27/2024
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	7/27/2015	10/16/2020
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	7/27/2015	10/16/2020
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/5/2012	4/23/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/5/2012	4/23/2015
Inactive	Homesite Insurance Company	301139	Agent - Casualty	8/16/2017	11/20/2023
Inactive	Homesite Insurance Company	301139	Agent - Property	8/16/2017	11/20/2023
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	8/16/2017	11/20/2023
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Property	8/16/2017	11/20/2023
Active	LM General Insurance Company	300133	Agent - Casualty	6/9/2025
Active	LM General Insurance Company	300133	Agent - Property	6/9/2025
Inactive	LM Insurance Corporation	301061	Agent - Casualty	7/27/2015	10/16/2020
Inactive	LM Insurance Corporation	301061	Agent - Property	7/27/2015	10/16/2020
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	7/27/2015	10/16/2020
Inactive	Liberty Insurance Corporation	300444	Agent - Property	7/27/2015	10/16/2020
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	7/27/2015	10/1/2018
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	7/27/2015	10/1/2018
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	7/27/2015	10/1/2018
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	7/27/2015	10/1/2018
Active	Liberty Mutual Personal Insurance Company	959584	Agent - Casualty	5/29/2024
Active	Liberty Mutual Personal Insurance Company	959584	Agent - Property	5/29/2024
Inactive	Lincoln Life Assurance Company of Boston	301915	Agent - Life	1/15/2018	3/4/2019
Active	MEMBERS Life Insurance Company	301289	Agent - Life	2/27/2024
Active	Peerless Indemnity Insurance Company	571682	Agent - Casualty	12/4/2024
Active	Peerless Indemnity Insurance Company	571682	Agent - Property	12/4/2024
Inactive	Praetorian Insurance Company	301021	Agent - Casualty	10/3/2012	4/6/2015
Inactive	Praetorian Insurance Company	301021	Agent - Property	10/3/2012	4/6/2015
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	5/12/2017	1/29/2018
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	5/12/2017	1/29/2018
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	10/3/2012	4/6/2015
Inactive	QBE Insurance Corporation	300515	Agent - Property	10/3/2012	4/6/2015
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	10/19/2012	3/19/2015
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	10/19/2012	3/19/2015
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/19/2012	3/19/2015
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/19/2012	3/19/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Banc of America Insurance Services, Inc.	400875	Agent - Property	10/3/2012	3/19/2015
Inactive	Banc of America Insurance Services, Inc.	400875	Agent - Casualty	10/3/2012	3/19/2015