DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Galban, Marie	DOIID	754469	NAIC NPN	8053739

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	5/16/2011	11/30/2013
Inactive	Non Resident	Agent	Property	5/16/2011	11/30/2013
Inactive	Non Resident	Agent	Life	5/16/2011	11/30/2013
* 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	American Family Home Insurance Company	301817	Agent - Casualty	6/7/2011	8/30/2013
Inactive	American Family Home Insurance Company	301817	Agent - Property	6/7/2011	8/30/2013
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	6/7/2011	8/30/2013
Inactive	American Modern Home Insurance Company	300791	Agent - Property	6/7/2011	8/30/2013
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	6/7/2011	8/30/2013
Inactive	American Modern Select Insurance Company	581481	Agent - Property	6/7/2011	8/30/2013
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	6/7/2011	8/30/2013
Inactive	American Southern Home Insurance Company	626276	Agent - Property	6/7/2011	8/30/2013
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	5/26/2011	7/18/2013
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	5/26/2011	7/18/2013
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/10/2011	11/30/2013
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/10/2011	11/30/2013
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	5/23/2011	7/23/2013
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	5/23/2011	7/23/2013

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 - Property	6/8/2011	5/22/2013
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Casualty	6/8/2011	5/22/2013