DEPARTMENT OF INSURANCE

Affiliations

Name	Wormmeester, Julie Ann	DOIID	727736	NAIC NPN	7558785

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	5/4/2010	4/30/2012
Inactive	Non Resident	Agent	Casualty	5/4/2010	4/30/2012
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Acrisure LLC	696181	Agent - Casualty
Denied	Acrisure LLC	696181	Agent - Property