DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bennett, Elizabeth Jane	DOIID	747472	NAIC NPN	9075368

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	11/24/2020		12/31/2025
Active	Non Resident	Agent	Property	11/24/2020		12/31/2025
Inactive	Non Resident	Agent	Life	2/12/2015	12/31/2017
Inactive	Non Resident	Staff Adjuster	Property & Casualty	9/1/2016	12/31/2021
* 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	American Family Life Insurance Company	844831	Agent - Life	11/10/2015	5/3/2016
Active	American Modern Home Insurance Company	300791	Agent - Casualty	2/19/2021
Active	American Modern Home Insurance Company	300791	Agent - Property	2/19/2021
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	6/10/2021
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	6/10/2021
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	12/19/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	12/19/2023
Active	Homesite Insurance Company	301139	Agent - Casualty	12/1/2020
Active	Homesite Insurance Company	301139	Agent - Property	12/1/2020
Active	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	12/1/2020
Active	Homesite Insurance Company of the Midwest	874850	Agent - Property	12/1/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Homesite Ins Agency Inc	547560	Agent - Casualty	1/13/2012	12/31/2017
Inactive	Homesite Ins Agency Inc	547560	Agent - Property	1/13/2012	12/31/2017