DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Vanderlaan, Teresa Marie	DOIID	591426	NAIC NPN	1221725

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Property	6/22/2004		1/31/2026
Pending Replacement	Non Resident	Agent	Casualty	6/22/2004		1/31/2026
* 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	11/15/2025	01/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	12/16/2024	2/12/2026
Inactive	Bristol West Insurance Company	301655	Agent - Property	12/16/2024	2/12/2026
Inactive	Farmers Casualty Insurance Company	301616	Agent - Casualty	1/20/2012	4/29/2013
Inactive	Farmers Casualty Insurance Company	301616	Agent - Property	1/20/2012	4/29/2013
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	6/22/2004	2/12/2026
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	6/22/2004	2/12/2026
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	6/22/2004	2/12/2026
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	6/22/2004	2/12/2026
Inactive	Independence American Insurance Company	524747	Agent - Casualty	8/1/2020	12/18/2020
Inactive	Independence American Insurance Company	524747	Agent - Property	8/1/2020	12/30/2022
Inactive	Response Insurance Company	300240	Agent - Casualty	5/13/2010	12/23/2013
Inactive	Response Insurance Company	300240	Agent - Property	5/13/2010	12/23/2013
Inactive	Unitrin Direct Property & Casualty Company	637443	Agent - Casualty	3/11/2010	5/12/2017
Inactive	Unitrin Direct Property & Casualty Company	637443	Agent - Property	3/11/2010	5/12/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Farmers General Insurance Agency, Inc.	516608	Agent - Casualty	1/21/2005	6/30/2017
Inactive	Farmers General Insurance Agency, Inc.	516608	Agent - Property	1/21/2005	6/30/2017
Inactive	Fx Insurance Agency, LLC	646184	Agent - Casualty	6/4/2021	2/17/2026
Inactive	Fx Insurance Agency, LLC	646184	Agent - Property	6/4/2021	2/17/2026