DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Groenheim, David Andrew	DOIID	736665	NAIC NPN	6783625

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	9/9/2010	6/14/2013
Inactive	Non Resident	Agent	Casualty	9/9/2010	6/14/2013
Inactive	Non Resident	Agent	Property	9/9/2010	6/14/2013
* 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	10/9/2012	6/14/2013
Inactive	Allstate Indemnity Company	300778	Agent - Property	10/9/2012	6/14/2013
Inactive	Allstate Insurance Company	300773	Agent - Casualty	10/9/2012	6/14/2013
Inactive	Allstate Insurance Company	300773	Agent - Property	10/9/2012	6/14/2013
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	10/9/2012	6/14/2013
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	10/9/2012	6/14/2013
Inactive	American General Life Insurance Company	301585	Agent - Life	11/18/2010	3/16/2012
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	10/12/2010	6/14/2013
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	10/12/2010	6/14/2013
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	10/29/2010	2/8/2013
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	10/29/2010	2/8/2013
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Casualty	9/23/2010	6/14/2013
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Property	9/23/2010	6/14/2013
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Casualty	9/23/2010	6/14/2013
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Property	9/23/2010	6/14/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Casualty	10/14/2010	1/22/2013
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Life	1/7/2011	3/16/2012
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Property	10/14/2010	1/22/2013