DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Potter, Diana	DOIID	780191	NAIC NPN	16616627

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	4/25/2012	5/31/2014
Inactive	Non Resident	Agent	Property	4/25/2012	5/31/2014
* 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	Bristol West Insurance Company	301655	Agent - Casualty	5/21/2012	6/10/2013
Inactive	Bristol West Insurance Company	301655	Agent - Property	5/21/2012	6/10/2013
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	5/21/2012	6/10/2013
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	5/21/2012	6/10/2013
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	8/3/2012	12/17/2012
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	8/3/2012	12/17/2012
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	8/3/2012	12/17/2012
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	8/3/2012	12/17/2012

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 - Property	9/4/2012	2/7/2013
Inactive	Banc Ins Agency Inc	691585	Agent - Casualty	9/4/2012	2/7/2013