DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Betancourt, Nidia Caro	DOIID	774915	NAIC NPN	16549025

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	11/5/2019		7/31/2025
Active	Resident	Agent	Life	11/5/2019		7/31/2025
Active	Resident	Agent	Casualty	10/11/2019		7/31/2025
Active	Resident	Agent	Property	10/11/2019		7/31/2025
* 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	Dairyland Insurance Company	301370	Agent - Casualty	3/1/2012	9/10/2014
Inactive	Dairyland Insurance Company	301370	Agent - Property	3/1/2012	9/10/2014
Inactive	Family Life Insurance Company	300356	Agent - Health	10/25/2013	8/1/2015
Inactive	Family Life Insurance Company	300356	Agent - Life	10/25/2013	8/1/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/4/2012	7/29/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/4/2012	7/29/2015
Inactive	Gerber Life Insurance Company	300529	Agent - Health	10/13/2013	9/15/2015
Inactive	Gerber Life Insurance Company	300529	Agent - Life	10/13/2013	9/15/2015
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/14/2013	8/1/2015
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/14/2013	8/1/2015
Active	State Farm Fire and Casualty Company	301809	Agent - Casualty	11/13/2019
Active	State Farm Fire and Casualty Company	301809	Agent - Property	11/13/2019
Active	State Farm Life Insurance Company	301810	Agent - Life	11/21/2019
Active	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	11/13/2019
Active	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	11/21/2019
Inactive	Trexis Insurance Corporation	599902	Agent - Casualty	8/19/2013	9/17/2014
Inactive	Trexis One Insurance Corporation	684197	Agent - Casualty	8/19/2013	9/17/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Capital City Insurance LLC	716683	Agent - Casualty	3/1/2012	9/8/2014
Inactive	Capital City Insurance LLC	716683	Agent - Property	3/1/2012	9/8/2014
Inactive	Capital City Insurance LLC	716683	Agent - Life	4/25/2014	9/8/2014
Inactive	Capital City Insurance LLC	716683	Agent - Health	4/25/2014	9/8/2014