DEPARTMENT OF INSURANCE

Affiliations

Name	Siegman, Susan R	DOIID	650871	NAIC NPN	1725972

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	3/7/2007	2/28/2022
Inactive	Non Resident	Agent	Property	3/7/2007	2/28/2022
* 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	ACE American Insurance Company	300625	Agent - Casualty	4/17/2015	2/28/2022
Inactive	ACE American Insurance Company	300625	Agent - Property	4/17/2015	2/28/2022
Inactive	American Automobile Insurance Company	300953	Agent - Casualty	8/26/2010	2/28/2022
Inactive	American Automobile Insurance Company	300953	Agent - Property	8/26/2010	2/28/2022
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	6/20/2007	2/28/2022
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	6/20/2007	2/28/2022
Inactive	BCS Insurance Company	300294	Agent - Casualty	5/21/2007	2/28/2022
Inactive	BCS Insurance Company	300294	Agent - Property	5/21/2007	2/28/2022
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	4/17/2015	2/28/2022
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	4/17/2015	2/28/2022
Inactive	CSAA Fire & Casualty Insurance Company	606666	Agent - Casualty	10/19/2018	2/28/2022
Inactive	CSAA Fire & Casualty Insurance Company	606666	Agent - Property	10/19/2018	2/28/2022
Inactive	CSAA General Insurance Company	606675	Agent - Casualty	10/19/2018	2/28/2022
Inactive	CSAA General Insurance Company	606675	Agent - Property	10/19/2018	2/28/2022
Inactive	Central Mutual Insurance Company	300965	Agent - Casualty	12/16/2009	7/13/2020
Inactive	Central Mutual Insurance Company	300965	Agent - Property	12/16/2009	7/13/2020
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	10/23/2015	2/28/2022
Inactive	Encompass Indemnity Company	546376	Agent - Property	10/23/2015	2/28/2022
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	10/23/2015	12/13/2018
Inactive	Encompass Insurance Company of America	556578	Agent - Property	10/23/2015	12/13/2018
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	5/15/2008	2/28/2022
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	5/15/2008	2/28/2022
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	9/13/2011	2/28/2022
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	9/13/2011	2/28/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/12/2020	2/28/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/12/2020	2/28/2022
Inactive	Jefferson Insurance Company	301127	Agent - Casualty	10/26/2007	2/28/2022
Inactive	Jefferson Insurance Company	301127	Agent - Property	10/26/2007	2/28/2022
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	5/15/2008	12/27/2013
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	5/15/2008	12/27/2013
Inactive	Owners Insurance Company	300796	Agent - Casualty	8/24/2007	2/28/2022
Inactive	Owners Insurance Company	300796	Agent - Property	8/24/2007	2/28/2022
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	1/8/2021	2/28/2022
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	1/8/2021	2/28/2022
Inactive	Selective Insurance Company of America	500018	Agent - Casualty	9/16/2020	2/28/2022
Inactive	Selective Insurance Company of America	500018	Agent - Property	9/16/2020	2/28/2022
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Casualty	9/16/2020	2/28/2022
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Property	9/16/2020	2/28/2022
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Casualty	9/16/2020	2/28/2022
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Property	9/16/2020	2/28/2022
Inactive	Westfield Insurance Company	301950	Agent - Casualty	6/27/2007	2/28/2022
Inactive	Westfield Insurance Company	301950	Agent - Property	6/27/2007	2/28/2022
Inactive	Westfield National Insurance Company	301036	Agent - Casualty	9/4/2007	11/4/2009
Inactive	Westfield National Insurance Company	301036	Agent - Property	9/4/2007	11/4/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aaa Allied Insurance Services Inc	546922	Agent - Property	4/3/2008	11/1/2017
Inactive	Aaa Allied Insurance Services Inc	546922	Agent - Casualty	4/3/2008	11/1/2017
Inactive	Energy Ins Agency Inc	398833	Agent - Property	3/21/2012	2/28/2022
Inactive	Energy Ins Agency Inc	398833	Agent - Casualty	3/21/2012	2/28/2022