DEPARTMENT OF INSURANCE

Affiliations

Name	Dobens, Raymond Wellington	DOIID	730029	NAIC NPN	13352574

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	6/10/2010	1/31/2015
Inactive	Non Resident	Agent	Casualty	6/10/2010	1/31/2015
* 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	21st Century North America Insurance Company	300884	Agent - Casualty	6/21/2010	8/23/2013
Inactive	21st Century North America Insurance Company	300884	Agent - Property	6/21/2010	8/23/2013
Inactive	American Hallmark Insurance Company of Texas	709267	Agent - Casualty	4/6/2011	1/31/2015
Inactive	American Hallmark Insurance Company of Texas	709267	Agent - Property	4/6/2011	1/31/2015
Inactive	Electric Insurance Company	301758	Agent - Casualty	6/16/2010	12/22/2011
Inactive	Electric Insurance Company	301758	Agent - Property	6/16/2010	12/22/2011
Inactive	Esurance Insurance Company	301072	Agent - Casualty	6/16/2010	2/13/2014
Inactive	Esurance Insurance Company	301072	Agent - Property	6/16/2010	2/13/2014
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	6/21/2010	1/9/2014
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	6/21/2010	1/9/2014
Inactive	First National Insurance Company of America	301690	Agent - Casualty	6/16/2010	1/31/2015
Inactive	First National Insurance Company of America	301690	Agent - Property	6/16/2010	1/31/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/7/2011	11/13/2012
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/7/2011	11/13/2012
Inactive	General Insurance Company of America	300261	Agent - Casualty	6/16/2010	1/31/2015
Inactive	General Insurance Company of America	300261	Agent - Property	6/16/2010	1/31/2015
Inactive	Hallmark Insurance Company	301637	Agent - Casualty	4/18/2011	1/31/2015
Inactive	Hallmark Insurance Company	301637	Agent - Property	4/18/2011	1/31/2015
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	6/16/2010	1/31/2015
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	6/16/2010	1/31/2015
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	6/16/2010	1/31/2015
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	6/16/2010	1/31/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Insurance Answer Center LLC	694353	Agent - Casualty	6/17/2010	1/31/2015
Inactive	Insurance Answer Center LLC	694353	Agent - Property	6/17/2010	1/31/2015