DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kamphuis, Lauren Nicole	DOIID	717236	NAIC NPN	15168434

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	11/2/2009	10/20/2011
Inactive	Non Resident	Agent	Casualty	11/2/2009	10/20/2011
* 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	Nationwide Mutual Insurance Company	301749	Agent - Casualty	11/18/2009	10/17/2011
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	11/18/2009	10/17/2011
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	2/28/2010	10/19/2011
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	2/28/2010	10/19/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Casualty	12/15/2009	10/19/2011
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Property	12/15/2009	10/19/2011