DEPARTMENT OF INSURANCE
Affiliations
NameKooistra, Michelle RDOIID807966NAIC NPN998255
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentProperty4/15/2013 8/31/2028
ActiveNon ResidentAgentCasualty4/15/2013 8/31/2028
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBristol West Insurance Company301655Agent - Casualty2/21/201812/20/2024
InactiveBristol West Insurance Company301655Agent - Property2/21/201812/20/2024
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty2/21/20188/21/2026
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property2/21/20188/21/2026
InactiveSAFECO Insurance Company of Illinois301350Agent - Casualty6/24/20225/7/2026
InactiveSAFECO Insurance Company of Illinois301350Agent - Property6/24/20225/7/2026
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAcrisure LLC696181Agent - Property12/11/20241/23/2025
InactiveAcrisure LLC696181Agent - Casualty12/11/20241/23/2025
InactiveAcrisure Midwest Insurance Services, LLC1271471Agent - Property1/23/20258/21/2026
InactiveAcrisure Midwest Insurance Services, LLC1271471Agent - Casualty1/23/20258/21/2026

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