DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kapcia, Deborah L	DOIID	680711	NAIC NPN	971759

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	1/16/2009	11/30/2011
Inactive	Non Resident	Agent	Property	5/15/2008	11/30/2011
Inactive	Non Resident	Agent	Casualty	5/15/2008	11/30/2011
Inactive	Non Resident	Agent	Health	1/16/2009	11/30/2011
* 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	Farmers Insurance Exchange	300336	Agent - Casualty	5/22/2008	3/12/2010
Inactive	Farmers Insurance Exchange	300336	Agent - Property	5/22/2008	3/12/2010
Inactive	Farmers New World Life Insurance Company	300536	Agent - Health	1/28/2009	3/12/2010
Inactive	Farmers New World Life Insurance Company	300536	Agent - Life	1/28/2009	3/12/2010
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	5/22/2008	3/12/2010
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	5/22/2008	3/12/2010
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	5/22/2008	3/12/2010
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	5/22/2008	3/12/2010
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	5/22/2008	3/12/2010
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	5/22/2008	3/12/2010
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	1/30/2009	3/12/2010
Inactive	Northern Insurance Company of New York	301317	Agent - Property	1/30/2009	3/12/2010
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	5/22/2008	3/12/2010
Inactive	Truck Insurance Exchange	300335	Agent - Property	5/22/2008	3/12/2010
Inactive	Watford Insurance Company	556753	Agent - Casualty	3/18/2010	6/22/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Professionals Direct Insurance Services, Inc.	548827	Agent - Casualty	3/3/2010	3/3/2010