DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Brenner, Diana Joy	DOIID	663965	NAIC NPN	9166481

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	6/17/2008	12/31/2014
Inactive	Non Resident	Agent	Casualty	6/17/2008	12/31/2014
Inactive	Non Resident	Independent Adjuster	Property & Casualty	9/17/2007	12/31/2010
* 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	21st Century North America Insurance Company	300884	Agent - Casualty	1/11/2012	12/7/2012
Inactive	21st Century North America Insurance Company	300884	Agent - Property	1/11/2012	12/7/2012
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/19/2008	2/16/2012
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/19/2008	2/16/2012
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	6/19/2008	2/16/2012
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	6/19/2008	2/16/2012
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	6/19/2008	2/16/2012
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	6/19/2008	2/16/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Foremost Express Insurance Agency Inc.	515334	Agent - Casualty	6/19/2008	12/7/2012
Inactive	Foremost Express Insurance Agency Inc.	515334	Agent - Property	6/19/2008	12/7/2012