DEPARTMENT OF INSURANCE
Affiliations
NameKooistra, Leann JeanDOIID612568NAIC NPN8516637
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentProperty7/26/2005 3/31/2027
ActiveNon ResidentAgentCasualty7/26/2005 3/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202503/31/202502/18/202502/18/2025Yes
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveBristol West Insurance Company301655Agent - Casualty2/27/2020 
ActiveBristol West Insurance Company301655Agent - Property2/27/2020 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty9/12/2005 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property9/12/2005 
ActiveForemost Property and Casualty Insurance Company300871Agent - Casualty9/12/2005 
ActiveForemost Property and Casualty Insurance Company300871Agent - Property9/12/2005 
InactiveForemost Signature Insurance Company300140Agent - Casualty9/12/20053/4/2014
InactiveForemost Signature Insurance Company300140Agent - Property9/12/20053/4/2014
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveForemost Express Insurance Agency Inc.515334Agent - Casualty12/18/201712/31/2018
InactiveForemost Express Insurance Agency Inc.515334Agent - Property12/18/201712/31/2018
ActiveFx Insurance Agency, LLC646184Agent - Casualty12/31/2018 
ActiveFx Insurance Agency, LLC646184Agent - Property12/31/2018 

© Commonwealth of Kentucky. All rights reserved.