DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Lacoursiere, Anthony	DOIID	747686	NAIC NPN	8748377

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	2/8/2011	2/5/2015
Inactive	Non Resident	Agent	Casualty	2/8/2011	2/5/2015
Inactive	Non Resident	Agent	Property	2/8/2011	2/5/2015
* 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	American Family Home Insurance Company	301817	Agent - Casualty	10/23/2014	11/7/2014
Inactive	American Family Home Insurance Company	301817	Agent - Property	10/23/2014	11/7/2014
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	12/18/2013	11/7/2014
Inactive	American Modern Home Insurance Company	300791	Agent - Property	12/18/2013	11/7/2014
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	12/18/2013	11/7/2014
Inactive	American Modern Select Insurance Company	581481	Agent - Property	12/18/2013	11/7/2014
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	12/18/2013	11/7/2014
Inactive	American Southern Home Insurance Company	626276	Agent - Property	12/18/2013	11/7/2014
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	4/13/2011	10/4/2012
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	4/13/2011	10/4/2012
Inactive	Esurance Insurance Company	301072	Agent - Casualty	4/25/2014	10/28/2014
Inactive	Esurance Insurance Company	301072	Agent - Property	4/25/2014	10/28/2014
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	3/23/2011	4/6/2015
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	3/23/2011	4/6/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/28/2011	11/14/2014
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/28/2011	11/14/2014
Inactive	Owners Insurance Company	300796	Agent - Casualty	4/13/2011	10/4/2012
Inactive	Owners Insurance Company	300796	Agent - Property	4/13/2011	10/4/2012

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	3/29/2011	10/23/2014
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Property	3/29/2011	10/23/2014