DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Todd, Michael	DOIID	686491	NAIC NPN	11161059

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	8/7/2008	7/26/2016
Inactive	Non Resident	Agent	Property	8/7/2008	7/26/2016
Inactive	Non Resident	Agent	Health	7/26/2013	7/26/2016
Inactive	Non Resident	Agent	Life	7/26/2013	7/26/2016
* 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	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/15/2015	7/26/2016
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/15/2015	7/26/2016
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	6/15/2015	7/26/2016
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	6/15/2015	7/26/2016
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	6/15/2015	7/26/2016
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	6/15/2015	7/26/2016
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	5/30/2014	5/6/2016
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	5/30/2014	5/6/2016
Inactive	Shelter General Insurance Company	301109	Agent - Casualty	8/19/2008	1/21/2016
Inactive	Shelter General Insurance Company	301109	Agent - Property	8/19/2008	1/21/2016
Inactive	Shelter Life Insurance Company	300391	Agent - Health	8/2/2013	1/21/2016
Inactive	Shelter Life Insurance Company	300391	Agent - Life	8/2/2013	1/21/2016
Inactive	Shelter Mutual Insurance Company	301870	Agent - Casualty	8/19/2008	1/21/2016
Inactive	Shelter Mutual Insurance Company	301870	Agent - Property	8/19/2008	1/21/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Property	11/5/2013	7/26/2016
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Casualty	11/5/2013	7/26/2016
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Life	11/5/2013	5/6/2016
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Health	11/5/2013	5/6/2016