DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Dolack, Ross Alan	DOIID	725576	NAIC NPN	15720951

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Property	4/13/2010	1/1/2015
Inactive	Resident	Agent	Casualty	4/13/2010	1/1/2015
* 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	Allstate Indemnity Company	300778	Agent - Casualty	4/23/2010	7/28/2012
Inactive	Allstate Indemnity Company	300778	Agent - Property	4/23/2010	7/28/2012
Inactive	Allstate Insurance Company	300773	Agent - Casualty	4/23/2010	7/28/2012
Inactive	Allstate Insurance Company	300773	Agent - Property	4/23/2010	7/28/2012
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	4/23/2010	7/28/2012
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	4/23/2010	7/28/2012
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	3/18/2013	1/1/2015
Inactive	Bristol West Insurance Company	301655	Agent - Property	3/18/2013	1/1/2015
Inactive	Farmers Casualty Insurance Company	301616	Agent - Casualty	9/14/2012	12/30/2013
Inactive	Farmers Casualty Insurance Company	301616	Agent - Property	9/14/2012	12/30/2013
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	9/14/2012	1/1/2015
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	9/14/2012	1/1/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/18/2013	1/1/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/18/2013	1/1/2015
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	7/31/2012	9/17/2014
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	7/31/2012	9/17/2014
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	7/31/2012	9/17/2014
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	7/31/2012	9/17/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dolack Insurance Agency Inc.	510813	Agent - Casualty	8/7/2012	10/28/2014
Inactive	Dolack Insurance Agency Inc.	510813	Agent - Property	8/7/2012	10/28/2014