DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	DeVormer, Malissa	DOIID	795893	NAIC NPN	2968500

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	10/25/2012		3/31/2026
Active	Non Resident	Agent	Health	10/25/2012		3/31/2026
Active	Non Resident	Agent	Life	10/25/2012		3/31/2026
Active	Non Resident	Agent	Casualty	10/25/2012		3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending	Acrisure Great Lakes Partners Insurance Services LLC	1271471	Agent - Casualty
Pending	Acrisure Great Lakes Partners Insurance Services LLC	1271471	Agent - Property
Pending	Acrisure Great Lakes Partners Insurance Services LLC	1271471	Agent - Life
Pending	Acrisure Great Lakes Partners Insurance Services LLC	1271471	Agent - Health
Denied	Acrisure LLC	696181	Agent - Casualty
Denied	Acrisure LLC	696181	Agent - Property
Denied	Acrisure LLC	696181	Agent - Life
Denied	Acrisure LLC	696181	Agent - Health