DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Blitch, Marie	DOIID	804805	NAIC NPN	16530792

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	3/1/2013	11/30/2014
Inactive	Non Resident	Agent	Casualty	3/1/2013	11/30/2014
* 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	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	5/7/2013	11/30/2014
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	5/7/2013	11/30/2014
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	5/8/2013	11/30/2014
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	5/8/2013	11/30/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mountain Empire Agency Alliance Llc	801122	Agent - Property	5/7/2013	11/30/2014
Inactive	Mountain Empire Agency Alliance Llc	801122	Agent - Casualty	5/7/2013	11/30/2014