DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bushkuhl, Michael Bethany Belle	DOIID	643355	NAIC NPN	1339029

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	10/30/2006	2/28/2019
Inactive	Non Resident	Agent	Property	10/30/2006	2/28/2019
Inactive	Non Resident	Agent	Health	3/21/2016	2/28/2019
Inactive	Non Resident	Agent	Life	3/21/2016	2/28/2019
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	11/30/2006	2/28/2019
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	5/11/2011	8/8/2014
Inactive	Bristol West Insurance Company	301655	Agent - Property	5/11/2011	8/8/2014
Inactive	Combined Insurance Company of America	301472	Agent - Health	11/29/2016	1/26/2017
Inactive	Combined Insurance Company of America	301472	Agent - Life	11/29/2016	1/26/2017
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	3/27/2008	8/27/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	3/27/2008	8/27/2012
Inactive	First American Property & Casualty Insurance Company	300331	Agent - Casualty	11/27/2006	7/7/2008
Inactive	First American Property & Casualty Insurance Company	300331	Agent - Property	11/27/2006	7/7/2008
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/27/2008	2/28/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/27/2008	2/28/2019
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	3/27/2008	2/28/2019
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	3/27/2008	2/28/2019
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	3/27/2008	3/4/2014
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	3/27/2008	3/4/2014
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	3/27/2008	8/27/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	3/27/2008	8/27/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	America's Innovative Insurance Solutions, Inc.	569929	Agent - Casualty	2/26/2007	3/18/2008
Inactive	America's Innovative Insurance Solutions, Inc.	569929	Agent - Property	2/26/2007	3/18/2008
Inactive	Farmers Services Ins Agency	917492	Agent - Casualty	6/6/2016	1/18/2017
Inactive	Farmers Services Ins Agency	917492	Agent - Property	6/6/2016	1/18/2017
Inactive	Kraft Lake Insurance Agency, Inc.	658511	Agent - Casualty	11/1/2013	12/29/2016
Inactive	Kraft Lake Insurance Agency, Inc.	658511	Agent - Property	11/1/2013	12/29/2016
Inactive	Kraft Lake Insurance Agency, Inc.	658511	Surplus Lines Broker - Not Applicable	7/2/2008	12/29/2016