DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Boza, Carmen Cecilia	DOIID	802446	NAIC NPN	16146210

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	3/8/2017		9/30/2026
Active	Non Resident	Agent	Casualty	3/8/2017		9/30/2026
Denied	Non Resident	Surplus Lines Broker	Not Applicable
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	07/15/2026	09/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Bristol West Insurance Company	301655	Agent - Casualty	4/16/2018
Active	Bristol West Insurance Company	301655	Agent - Property	4/16/2018
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/16/2018
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/16/2018
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	11/9/2018
Active	Progressive Casualty Insurance Company	300696	Agent - Property	11/9/2018
Inactive	United Financial Casualty Company	301886	Agent - Casualty	2/9/2016	9/30/2016
Inactive	United Financial Casualty Company	301886	Agent - Property	2/9/2016	9/30/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	SSB Ins Services LLC	747630	Agent - Property	11/26/2018
Active	SSB Ins Services LLC	747630	Agent - Casualty	11/26/2018