DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Velin, William K	DOIID	658184	NAIC NPN	307403

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	6/22/2007	1/13/2020
Inactive	Non Resident	Agent	Casualty	6/22/2007	1/13/2020
* 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	8/24/2013	5/18/2016
Inactive	Bristol West Insurance Company	301655	Agent - Property	8/24/2013	5/18/2016
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/24/2013	5/18/2016
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/24/2013	5/18/2016
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	8/24/2013	5/18/2016
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	8/24/2013	5/18/2016
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	8/24/2013	5/18/2016
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	8/24/2013	5/18/2016
Inactive	Rural Community Insurance Company	301891	Agent - Casualty	1/7/2010	11/11/2011
Inactive	Rural Community Insurance Company	301891	Agent - Property	11/2/2012	5/5/2016
Inactive	Selective Insurance Company of America	500018	Agent - Casualty	9/18/2018	1/13/2020
Inactive	Selective Insurance Company of America	500018	Agent - Property	9/18/2018	1/13/2020
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Casualty	9/18/2018	1/13/2020
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Property	9/18/2018	1/13/2020
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Casualty	9/18/2018	1/13/2020
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Property	9/18/2018	1/13/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	10/16/2014	3/15/2016
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	10/16/2014	3/15/2016