DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Lively, Debbie I	DOIID	788237	NAIC NPN	16612155

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	8/13/2012	12/31/2022
Inactive	Non Resident	Agent	Casualty	8/13/2012	12/31/2022
* 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	American Family Home Insurance Company	301817	Agent - Casualty	8/28/2012	11/14/2021
Inactive	American Family Home Insurance Company	301817	Agent - Property	8/28/2012	11/14/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	8/28/2012	11/14/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Property	8/28/2012	11/14/2021
Inactive	American National Property and Casualty Company	300392	Agent - Casualty	1/13/2018	2/18/2022
Inactive	American National Property and Casualty Company	300392	Agent - Property	1/13/2018	2/18/2022
Inactive	Homesite Insurance Company	301139	Agent - Casualty	3/14/2018	12/31/2022
Inactive	Homesite Insurance Company	301139	Agent - Property	3/14/2018	12/31/2022
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	4/22/2021	12/31/2022
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Property	4/22/2021	12/31/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Multifamily Internet Ventures, LLC	638890	Agent - Property	5/3/2018	12/31/2022
Inactive	Multifamily Internet Ventures, LLC	638890	Agent - Casualty	5/3/2018	12/31/2022