DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Adolphson, Earl G	DOIID	660640	NAIC NPN	664085

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/27/2007		11/30/2024
Active	Non Resident	Agent	Life	7/27/2007		11/30/2024
Active	Non Resident	Agent	Property	7/27/2007		11/30/2024
Active	Non Resident	Agent	Casualty	7/27/2007		11/30/2024
* 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	09/15/2024	11/30/2024

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	6/4/2013	4/28/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	6/4/2013	4/28/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/4/2013	4/28/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/4/2013	4/28/2017
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	6/4/2013	3/17/2017
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	6/4/2013	3/17/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	6/4/2013	3/17/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	6/4/2013	3/17/2017
Active	Independence American Insurance Company	524747	Agent - Casualty	11/3/2023
Active	Independence American Insurance Company	524747	Agent - Property	11/3/2023
Active	United States Fire Insurance Company	582240	Agent - Casualty	12/15/2020
Active	United States Fire Insurance Company	582240	Agent - Property	12/15/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Alliant Insurance Services, Inc.	551378	Agent - Life
Denied	Alliant Insurance Services, Inc.	551378	Agent - Health
Inactive	Alliant Insurance Services, Inc.	551378	Agent - Property	4/17/2017	4/28/2017
Inactive	Alliant Insurance Services, Inc.	551378	Agent - Casualty	4/17/2017	4/28/2017