DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Osbourne, Taylor Leigh	DOIID	721232	NAIC NPN	15640052

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	2/25/2011	9/22/2011
Inactive	Resident	Agent	Property	5/12/2010	11/29/2011
Inactive	Resident	Agent	Casualty	5/12/2010	11/29/2011
Inactive	Resident	Agent	Life	2/25/2011	9/22/2011
* 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	Bristol West Insurance Company	301655	Agent - Casualty	6/4/2010	9/22/2011
Inactive	Bristol West Insurance Company	301655	Agent - Property	6/4/2010	9/22/2011
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/28/2010	11/28/2011
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/28/2010	11/28/2011
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	5/24/2010	9/22/2011
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	5/24/2010	9/22/2011
Inactive	Grange Insurance Company	300234	Agent - Casualty	5/24/2010	9/22/2011
Inactive	Grange Insurance Company	300234	Agent - Property	5/24/2010	9/22/2011
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	5/24/2010	9/22/2011
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	5/24/2010	9/22/2011
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	5/24/2010	9/22/2011
Inactive	Trustgard Insurance Company	300104	Agent - Property	5/24/2010	9/22/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Heritage Insurance Service, Inc.	399131	Agent - Casualty	6/4/2010	11/10/2010
Inactive	Heritage Insurance Service, Inc.	399131	Agent - Property	6/4/2010	11/10/2010
Inactive	Maverick Insurance, LLC	553924	Agent - Casualty	12/22/2010	9/13/2011
Inactive	Maverick Insurance, LLC	553924	Agent - Property	12/13/2010	9/13/2011