DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ward, Bretina Luella	DOIID	598557	NAIC NPN	8287979

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	11/17/2004		6/30/2026
Active	Non Resident	Agent	Health	2/6/2008		6/30/2026
Active	Non Resident	Agent	Casualty	11/17/2004		6/30/2026
* 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	04/15/2024	06/30/2024	05/14/2024	05/14/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AMEX Assurance Company	301728	Agent - Casualty	11/19/2004	1/24/2020
Inactive	AMEX Assurance Company	301728	Agent - Health	2/26/2008	1/24/2020
Inactive	AMEX Assurance Company	301728	Agent - Property	11/19/2004	1/24/2020
Active	American Family Connect Property and Casualty Insurance Company	622403	Agent - Casualty	1/30/2020
Active	American Family Connect Property and Casualty Insurance Company	622403	Agent - Property	1/30/2020
Active	American Modern Home Insurance Company	300791	Agent - Casualty	7/19/2023
Active	American Modern Home Insurance Company	300791	Agent - Property	7/19/2023
Active	Bristol West Insurance Company	301655	Agent - Casualty	10/11/2023
Active	Bristol West Insurance Company	301655	Agent - Property	10/11/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	10/11/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	10/11/2023
Active	Homesite Insurance Company	301139	Agent - Casualty	12/29/2022
Active	Homesite Insurance Company	301139	Agent - Property	12/29/2022
Active	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	12/29/2022
Active	Homesite Insurance Company of the Midwest	874850	Agent - Property	12/29/2022
Active	Midvale Indemnity Company	300292	Agent - Casualty	12/29/2022
Active	Midvale Indemnity Company	300292	Agent - Property	12/29/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	APAC Customer Services Inc	505425	Agent - Casualty	8/5/2009	1/18/2013
Inactive	APAC Customer Services Inc	505425	Agent - Property	8/5/2009	1/18/2013
Inactive	APAC Customer Services Inc	505425	Agent - Health	8/5/2009	1/18/2013
Inactive	Alorica Customer Care, Inc.	800938	Agent - Casualty	1/29/2013	1/15/2019
Inactive	Alorica Customer Care, Inc.	800938	Agent - Property	1/29/2013	1/15/2019
Inactive	Alorica Customer Care, Inc.	800938	Agent - Health	1/29/2013	1/15/2019
Inactive	Alorica Customer Care, LLC	1011657	Agent - Casualty	10/9/2018	1/24/2020
Inactive	Alorica Customer Care, LLC	1011657	Agent - Property	10/9/2018	1/24/2020
Inactive	Alorica Customer Care, LLC	1011657	Agent - Health	10/9/2018	1/24/2020
Active	American Family Connect Insurance Agency, Inc.	619157	Agent - Casualty	8/15/2023
Active	American Family Connect Insurance Agency, Inc.	619157	Agent - Property	8/15/2023