DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Kooistra, Michelle R	DOIID	807966	NAIC NPN	998255

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	4/15/2013		8/31/2026
Active	Non Resident	Agent	Property	4/15/2013		8/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	06/15/2026	08/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	2/21/2018	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	2/21/2018	12/20/2024
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	2/21/2018
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	2/21/2018
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	6/24/2022
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	6/24/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Acrisure Great Lakes Partners Insurance Services LLC	1271471	Agent - Property	1/23/2025
Active	Acrisure Great Lakes Partners Insurance Services LLC	1271471	Agent - Casualty	1/23/2025
Inactive	Acrisure LLC	696181	Agent - Property	12/11/2024	1/23/2025
Inactive	Acrisure LLC	696181	Agent - Casualty	12/11/2024	1/23/2025