DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Davis, Ben	DOIID	758265	NAIC NPN	13862108

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	7/13/2011	9/30/2013
Inactive	Non Resident	Agent	Property	7/13/2011	9/30/2013
Inactive	Non Resident	Agent	Casualty	7/13/2011	9/30/2013
* 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	8/10/2011	5/9/2013
Inactive	American Family Home Insurance Company	301817	Agent - Property	8/10/2011	5/9/2013
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	8/10/2011	5/9/2013
Inactive	American Modern Home Insurance Company	300791	Agent - Property	8/10/2011	5/9/2013
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	8/10/2011	5/9/2013
Inactive	American Modern Select Insurance Company	581481	Agent - Property	8/10/2011	5/9/2013
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	8/10/2011	5/9/2013
Inactive	American Southern Home Insurance Company	626276	Agent - Property	8/10/2011	5/9/2013
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	10/26/2011	9/30/2013
Inactive	Bristol West Insurance Company	301655	Agent - Property	10/26/2011	9/30/2013
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/22/2012	9/30/2013
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/22/2012	9/30/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Banc Ins Agency Inc	691585	Agent - Casualty	8/16/2011	9/9/2013
Denied	Banc Ins Agency Inc	691585	Agent - Life
Inactive	Banc Ins Agency Inc	691585	Agent - Property	8/16/2011	9/9/2013
Inactive	Community Financial Services Insurance, LLC	702941	Agent - Casualty	5/1/2013	9/9/2013
Inactive	Community Financial Services Insurance, LLC	702941	Agent - Property	5/1/2013	9/9/2013