DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Plante, Justin D	DOIID	667212	NAIC NPN	5077648

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	12/18/2020		9/30/2026
Active	Non Resident	Agent	Health	12/18/2020		9/30/2026
Active	Non Resident	Agent	Property	12/18/2020		9/30/2026
Active	Non Resident	Agent	Casualty	12/18/2020		9/30/2026
* 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	07/15/2024	09/30/2024	08/21/2024	08/21/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	1/23/2009	6/18/2012
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	1/23/2009	6/18/2012
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	11/7/2007	4/29/2011
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	11/7/2007	4/29/2011
Inactive	LM Insurance Corporation	301061	Agent - Casualty	11/7/2007	4/29/2011
Inactive	LM Insurance Corporation	301061	Agent - Property	11/7/2007	4/29/2011
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	11/7/2007	4/29/2011
Inactive	Liberty Insurance Corporation	300444	Agent - Property	11/7/2007	4/29/2011
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	11/7/2007	4/29/2011
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	11/7/2007	4/29/2011
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	11/7/2007	4/29/2011
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	11/7/2007	4/29/2011
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	2/19/2021
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	2/19/2021
Active	Zurich American Insurance Company	301121	Agent - Casualty	1/8/2021
Active	Zurich American Insurance Company	301121	Agent - Property	1/8/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	USI Midwest LLC	517736	Agent - Health
Denied	USI Midwest LLC	517736	Agent - Life
Denied	USI Midwest LLC	517736	Agent - Property
Denied	USI Midwest LLC	517736	Agent - Casualty
Active	Willis Towers Watson Midwest, Inc.	534348	Agent - Health	2/19/2021
Active	Willis Towers Watson Midwest, Inc.	534348	Agent - Life	2/19/2021
Active	Willis Towers Watson Midwest, Inc.	534348	Agent - Property	1/8/2021
Active	Willis Towers Watson Midwest, Inc.	534348	Agent - Casualty	1/8/2021