DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Wysong, David Andrew	DOIID	688476	NAIC NPN	642725

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	9/8/2008		2/28/2026
Active	Non Resident	Agent	Casualty	9/8/2008		2/28/2026
Active	Non Resident	Agent	Property	9/8/2008		2/28/2026
Active	Non Resident	Agent	Health	9/8/2008		2/28/2026
* 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
Active	Bristol West Insurance Company	301655	Agent - Casualty	6/5/2018
Active	Bristol West Insurance Company	301655	Agent - Property	6/5/2018
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/5/2018
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/5/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	6/19/2013	7/28/2016
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	6/19/2013	7/28/2016
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	6/19/2013	7/28/2016
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	6/19/2013	7/28/2016
Inactive	Westfield Insurance Company	301950	Agent - Casualty	2/24/2010	5/1/2012
Inactive	Westfield Insurance Company	301950	Agent - Property	2/24/2010	5/1/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	USI Insurance Services National, Inc	509421	Agent - Life
Denied	USI Insurance Services National, Inc	509421	Agent - Health
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	5/6/2015	5/24/2018
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	5/6/2015	5/24/2018
Denied	Usi Insurance Services LLC	669260	Agent - Life
Denied	Usi Insurance Services LLC	669260	Agent - Health
Inactive	Usi Insurance Services LLC	669260	Agent - Property	12/27/2018	7/15/2024
Inactive	Usi Insurance Services LLC	669260	Agent - Casualty	12/27/2018	7/15/2024