DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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	Casualty	10/11/2019		7/31/2025
Active	Resident	Agent	Property	10/11/2019		7/31/2025
Active	Resident	Agent	Life	11/5/2019		7/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	05/15/2025	07/31/2025

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