DEPARTMENT OF INSURANCE

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	Casualty	7/23/2018		1/31/2025
Active	Non Resident	Agent	Property	7/23/2018		1/31/2025
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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	11/15/2024	01/31/2025

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