DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Culver, Jill Renee	DOIID	589846	NAIC NPN	8018882

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	5/24/2004	11/30/2022
Inactive	Non Resident	Agent	Property	5/24/2004	11/30/2022
* 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	7/14/2004	4/1/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/14/2004	4/1/2022
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	7/14/2004	4/1/2022
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	7/14/2004	4/1/2022
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	3/25/2005	3/4/2014
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	3/25/2005	3/4/2014
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	3/9/2005	12/16/2014
Inactive	Northern Insurance Company of New York	301317	Agent - Property	3/9/2005	12/16/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Foremost Express Insurance Agency Inc.	515334	Agent - Casualty	12/18/2017	12/31/2018
Inactive	Foremost Express Insurance Agency Inc.	515334	Agent - Property	12/18/2017	12/31/2018
Inactive	Fx Insurance Agency, LLC	646184	Agent - Casualty	12/31/2018	4/1/2022
Inactive	Fx Insurance Agency, LLC	646184	Agent - Property	12/31/2018	4/1/2022