DEPARTMENT OF INSURANCE
Affiliations
NameTaker, Lisa MDOIID716395NAIC NPN4916823
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentCasualty10/22/2009 2/28/2025
ActiveNon ResidentAgentHealth1/8/2013 2/28/2025
ActiveNon ResidentAgentLife1/8/2013 2/28/2025
ActiveNon ResidentAgentProperty10/22/2009 2/28/2025
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBristol West Insurance Company301655Agent - Casualty8/9/20118/14/2013
InactiveBristol West Insurance Company301655Agent - Property8/9/20118/14/2013
InactiveClear Blue Insurance Company517511Agent - Casualty6/26/20135/20/2014
InactiveClear Blue Insurance Company517511Agent - Property6/26/20135/20/2014
InactiveEmployers Insurance Company of Wausau301813Agent - Casualty5/5/20165/18/2021
InactiveEmployers Insurance Company of Wausau301813Agent - Property5/5/20165/18/2021
InactiveFirst Liberty Insurance Corporation (The)301060Agent - Casualty5/5/20165/18/2021
InactiveFirst Liberty Insurance Corporation (The)301060Agent - Property5/5/20165/18/2021
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty8/9/20118/14/2013
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property8/9/20118/14/2013
InactiveGreat American Insurance Company301586Agent - Casualty2/20/20137/16/2019
InactiveGreat American Insurance Company301586Agent - Property2/20/20137/16/2019
ActiveIntrepid Casualty Company1196014Agent - Casualty9/6/2023 
ActiveIntrepid Casualty Company1196014Agent - Property9/6/2023 
ActiveIntrepid Insurance Company567182Agent - Casualty9/6/2023 
ActiveIntrepid Insurance Company567182Agent - Property9/6/2023 
InactiveLM Insurance Corporation301061Agent - Casualty5/5/20165/18/2021
InactiveLM Insurance Corporation301061Agent - Property5/5/20165/18/2021
InactiveLiberty Insurance Corporation300444Agent - Casualty5/5/20165/18/2021
InactiveLiberty Insurance Corporation300444Agent - Property5/5/20165/18/2021
InactiveLiberty Mutual Fire Insurance Company301913Agent - Casualty5/5/20165/18/2021
InactiveLiberty Mutual Fire Insurance Company301913Agent - Property5/5/20165/18/2021
InactiveLiberty Mutual Insurance Company301159Agent - Casualty5/5/20165/18/2021
InactiveLiberty Mutual Insurance Company301159Agent - Property5/5/20165/18/2021
InactiveMerchants Bonding Company (Mutual)300170Agent - Casualty11/11/200910/5/2012
InactiveMount Vernon Fire Insurance Company301397Agent - Casualty7/13/201511/20/2018
InactiveMount Vernon Fire Insurance Company301397Agent - Property7/13/201511/20/2018
InactiveOhio Casualty Insurance Company301492Agent - Casualty7/5/20175/18/2021
InactiveOhio Casualty Insurance Company301492Agent - Property7/5/20175/18/2021
InactiveOhio Security Insurance Company300622Agent - Casualty7/5/20175/18/2021
InactiveOhio Security Insurance Company300622Agent - Property7/5/20175/18/2021
InactiveRLI Insurance Company301217Agent - Casualty6/26/20133/31/2022
InactiveRLI Insurance Company301217Agent - Property6/26/20133/31/2022
InactiveUniversal Underwriters Insurance Company301558Agent - Casualty10/27/20099/22/2016
InactiveUniversal Underwriters Insurance Company301558Agent - Property10/27/20099/22/2016
InactiveUniversal Underwriters Life Insurance Company301200Agent - Health1/11/20139/22/2016
InactiveUniversal Underwriters Life Insurance Company301200Agent - Life1/11/20139/22/2016
InactiveUniversal Underwriters of Texas Insurance Company639543Agent - Casualty7/23/20109/22/2016
InactiveUniversal Underwriters of Texas Insurance Company639543Agent - Property7/23/20109/22/2016
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveIntrepid Direct Ins Agency LLC931179Agent - Property9/6/2023 
ActiveIntrepid Direct Ins Agency LLC931179Agent - Casualty9/6/2023 
InactiveYouzoom Ins Services Inc788817Agent - Property5/24/20132/2/2018
InactiveYouzoom Ins Services Inc788817Agent - Casualty5/24/20132/2/2018
InactiveYouzoom Ins Services Inc788817Agent - Life5/24/20139/22/2016
InactiveYouzoom Ins Services Inc788817Agent - Health5/24/20139/22/2016
InactiveZurich Agency Services Inc400817Agent - Property11/2/20094/14/2015
InactiveZurich Agency Services Inc400817Agent - Casualty11/2/20094/14/2015

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