DEPARTMENT OF INSURANCE

Affiliations

Name	Defalco, Nicole	DOIID	671015	NAIC NPN	8292909

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	7/14/2014	3/31/2025
Active	Non Resident	Agent	Property	7/14/2014	3/31/2025
* 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	American Family Home Insurance Company	301817	Agent - Casualty	1/6/2016	1/28/2016
Inactive	American Family Home Insurance Company	301817	Agent - Property	1/6/2016	1/28/2016
Active	American Modern Home Insurance Company	300791	Agent - Casualty	6/21/2020
Active	American Modern Home Insurance Company	300791	Agent - Property	6/21/2020
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	9/2/2019
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	9/2/2019
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	1/10/2018	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	1/10/2018	11/14/2021
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	1/13/2016	2/27/2016
Inactive	Bristol West Insurance Company	301655	Agent - Property	1/13/2016	2/27/2016
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	7/16/2014	3/5/2015
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	7/16/2014	3/5/2015
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/20/2017
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/20/2017
Active	Homesite Insurance Company	301139	Agent - Casualty	6/20/2017
Active	Homesite Insurance Company	301139	Agent - Property	6/20/2017
Active	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	7/12/2017
Active	Homesite Insurance Company of the Midwest	874850	Agent - Property	7/12/2017
Inactive	LM General Insurance Company	300133	Agent - Casualty	7/16/2014	3/5/2015
Inactive	LM General Insurance Company	300133	Agent - Property	7/16/2014	3/5/2015
Inactive	LM Insurance Corporation	301061	Agent - Casualty	7/16/2014	3/5/2015
Inactive	LM Insurance Corporation	301061	Agent - Property	7/16/2014	3/5/2015
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	7/16/2014	3/5/2015
Inactive	Liberty Insurance Corporation	300444	Agent - Property	7/16/2014	3/5/2015
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	7/16/2014	3/5/2015
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	7/16/2014	3/5/2015
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	7/16/2014	3/5/2015
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	7/16/2014	3/5/2015
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	12/30/2015	1/15/2016
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	12/30/2015	1/15/2016
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	12/30/2015	1/15/2016
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	12/30/2015	1/15/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Property	12/30/2015	1/13/2016
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Casualty	12/30/2015	1/13/2016