DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Haynes II, George Peterson	DOIID	782694	NAIC NPN	16659529

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Health
Inactive	Resident	Agent	Life	8/4/2014	3/1/2017
Inactive	Resident	Agent	Casualty	3/18/2013	3/1/2017
Inactive	Resident	Agent	Property	6/15/2012	3/1/2017
* 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	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	9/23/2014	12/20/2016
Inactive	Banner Life Insurance Company	301696	Agent - Life	10/16/2014	3/1/2017
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	6/28/2013	7/29/2015
Inactive	Bristol West Insurance Company	301655	Agent - Property	6/28/2013	7/29/2015
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	5/5/2015	3/1/2017
Inactive	Dairyland Insurance Company	301370	Agent - Property	5/5/2015	3/1/2017
Inactive	Family Life Insurance Company	300356	Agent - Life	9/29/2014	3/1/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/28/2013	7/29/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/28/2013	7/29/2015
Inactive	Gerber Life Insurance Company	300529	Agent - Life	11/17/2015	3/1/2017
Inactive	Trexis Insurance Corporation	599902	Agent - Casualty	3/25/2013	11/11/2014
Inactive	Trexis One Insurance Corporation	684197	Agent - Casualty	3/25/2013	11/11/2014

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	4/18/2013	3/24/2015
Inactive	Capital City Insurance LLC	716683	Agent - Property	4/18/2013	3/24/2015
Inactive	Franklin Insurance Agency, Inc.	875827	Agent - Casualty	7/28/2015	12/14/2015
Inactive	Franklin Insurance Agency, Inc.	875827	Agent - Property	7/28/2015	12/14/2015
Inactive	Franklin Insurance Agency, Inc.	875827	Agent - Life	7/28/2015	12/14/2015