DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Blau, Susan Gail	DOIID	624034	NAIC NPN	8666003

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	1/27/2015		10/31/2024
Active	Non Resident	Agent	Property	1/27/2015		10/31/2024
* 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	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	4/24/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	4/24/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	8/10/2016	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	8/10/2016	11/14/2021
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	2/27/2015
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	2/27/2015
Active	Homesite Insurance Company	301139	Agent - Casualty	4/12/2015
Active	Homesite Insurance Company	301139	Agent - Property	4/12/2015
Active	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	7/11/2017
Active	Homesite Insurance Company of the Midwest	874850	Agent - Property	7/11/2017
Inactive	Nationwide General Insurance Company	300603	Agent - Casualty	12/18/2019	8/25/2023
Inactive	Nationwide General Insurance Company	300603	Agent - Property	12/18/2019	8/25/2023
Inactive	Nationwide Insurance Company of America	300333	Agent - Casualty	11/18/2019	8/25/2023
Inactive	Nationwide Insurance Company of America	300333	Agent - Property	11/18/2019	8/25/2023
Active	Progressive Direct Insurance Company	301379	Agent - Casualty	2/4/2015
Active	Progressive Direct Insurance Company	301379	Agent - Property	2/4/2015
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	2/27/2015	11/7/2022
Inactive	QBE Insurance Corporation	300515	Agent - Property	2/27/2015	11/7/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Harley-Davidson Ins Services Inc	545855	Agent - Casualty	4/15/2015	10/3/2023
Inactive	Harley-Davidson Ins Services Inc	545855	Agent - Property	4/15/2015	10/3/2023
Active	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	2/6/2015
Active	Progressive Advantage Agency , Inc.	518222	Agent - Property	2/6/2015