DEPARTMENT OF INSURANCE
Affiliations
NameKooistra, Leann JeanDOIID612568NAIC NPN8516637
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentCasualty7/26/2005 3/31/2025
ActiveNon ResidentAgentProperty7/26/2005 3/31/2025
* 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
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 

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