DEPARTMENT OF INSURANCE
Affiliations
NameDeVormer, Malissa DOIID795893NAIC NPN2968500
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentProperty10/25/2012 3/31/2026
ActiveNon ResidentAgentHealth10/25/2012 3/31/2026
ActiveNon ResidentAgentLife10/25/2012 3/31/2026
ActiveNon ResidentAgentCasualty10/25/2012 3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202603/31/2026   
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
DeniedAcrisure Great Lakes Partners Insurance Services LLC1271471Agent - Casualty  
DeniedAcrisure Great Lakes Partners Insurance Services LLC1271471Agent - Property  
DeniedAcrisure Great Lakes Partners Insurance Services LLC1271471Agent - Life  
DeniedAcrisure Great Lakes Partners Insurance Services LLC1271471Agent - Health  
DeniedAcrisure LLC696181Agent - Casualty  
DeniedAcrisure LLC696181Agent - Property  
DeniedAcrisure LLC696181Agent - Life  
DeniedAcrisure LLC696181Agent - Health  

© Commonwealth of Kentucky. All rights reserved.