DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Wick, Justin	DOIID	765591	NAIC NPN	16410177

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	10/3/2011	5/24/2013
Inactive	Non Resident	Agent	Property	10/3/2011	5/24/2013
Inactive	Non Resident	Agent	Life	10/3/2011	5/24/2013
Inactive	Non Resident	Agent	Health	7/16/2012	5/24/2013
* 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	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	10/6/2011	1/18/2012
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	10/6/2011	1/18/2012
Inactive	Time Insurance Company	300683	Agent - Health	7/18/2012	5/24/2013
Inactive	Time Insurance Company	300683	Agent - Life	7/18/2012	5/24/2013

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	10/14/2011	10/20/2011
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Casualty	10/14/2011	10/20/2011