DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Van Dam, Marc Ryan	DOIID	575083	NAIC NPN	976380

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	8/25/2003		6/30/2025
Active	Non Resident	Agent	Casualty	8/25/2003		6/30/2025
* 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	04/15/2025	06/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Great West Casualty Company	301015	Agent - Casualty	2/17/2016
Active	Great West Casualty Company	301015	Agent - Property	2/17/2016
Inactive	Protective Insurance Company	301117	Agent - Casualty	11/10/2015	10/26/2018
Inactive	Protective Insurance Company	301117	Agent - Property	11/10/2015	10/26/2018
Inactive	Sagamore Insurance Company	300942	Agent - Casualty	8/11/2017	10/26/2018
Inactive	Sagamore Insurance Company	300942	Agent - Property	8/11/2017	10/26/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Acrisure Great Lakes Partners Insurance Services LLC	1271471	Agent - Casualty	1/28/2025
Active	Acrisure Great Lakes Partners Insurance Services LLC	1271471	Agent - Property	1/28/2025
Active	Acrisure LLC	696181	Agent - Casualty	12/16/2024
Active	Acrisure LLC	696181	Agent - Property	12/16/2024
Denied	Campbell Agency, Inc.	573819	Agent - Casualty
Denied	Campbell Agency, Inc.	573819	Agent - Property