DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Lasota, Marcin	DOIID	726146	NAIC NPN	7945645

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	12/16/2019		10/31/2025
Active	Non Resident	Agent	Property	12/16/2019		10/31/2025
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	21st Century North America Insurance Company	300884	Agent - Casualty	4/26/2010	2/23/2016
Inactive	21st Century North America Insurance Company	300884	Agent - Property	4/26/2010	2/23/2016
Active	American Economy Insurance Company	300315	Agent - Casualty	2/8/2022
Active	American Economy Insurance Company	300315	Agent - Property	2/8/2022
Active	CSAA Fire & Casualty Insurance Company	606666	Agent - Casualty	12/19/2019
Active	CSAA Fire & Casualty Insurance Company	606666	Agent - Property	12/19/2019
Active	CSAA General Insurance Company	606675	Agent - Casualty	12/19/2019
Active	CSAA General Insurance Company	606675	Agent - Property	12/19/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/3/2011	3/19/2016
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/3/2011	3/19/2016
Inactive	Homesite Insurance Company	301139	Agent - Casualty	5/11/2010	2/18/2016
Inactive	Homesite Insurance Company	301139	Agent - Property	5/11/2010	2/18/2016
Inactive	RLI Insurance Company	301217	Agent - Casualty	5/4/2010	2/27/2014
Inactive	RLI Insurance Company	301217	Agent - Property	5/4/2010	2/27/2014
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	2/8/2022
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	2/8/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aca Club Insurance Agency, Inc.	1033550	Agent - Property	1/22/2020
Active	Aca Club Insurance Agency, Inc.	1033550	Agent - Casualty	1/22/2020