DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Colegrove, Marissa J	DOIID	826368	NAIC NPN	17089238

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	7/23/2018		1/31/2027
Active	Non Resident	Agent	Casualty	7/23/2018		1/31/2027
Inactive	Non Resident	Staff Adjuster	Property & Casualty	10/31/2013	1/31/2017
* 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	Farmers Insurance Exchange	300336	Agent - Casualty	6/23/2023	2/23/2024
Inactive	Farmers Insurance Exchange	300336	Agent - Property	6/23/2023	2/23/2024
Inactive	Midvale Indemnity Company	300292	Agent - Casualty	8/22/2018	5/14/2021
Inactive	Midvale Indemnity Company	300292	Agent - Property	8/22/2018	5/14/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fx Insurance Agency, LLC	646184	Agent - Property	6/26/2023	2/23/2024
Inactive	Fx Insurance Agency, LLC	646184	Agent - Casualty	6/26/2023	2/23/2024
Inactive	Kraft Lake Insurance Agency, Inc.	658511	Agent - Property	6/26/2023	2/23/2024
Inactive	Kraft Lake Insurance Agency, Inc.	658511	Agent - Casualty	6/26/2023	2/23/2024