DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Marth, Derek A	DOIID	829888	NAIC NPN	17123686

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	10/12/2018	11/30/2019
Inactive	Non Resident	Agent	Casualty	10/12/2018	11/30/2019
* 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	Bristol West Insurance Company	301655	Agent - Casualty	11/28/2018	1/14/2019
Inactive	Bristol West Insurance Company	301655	Agent - Property	11/28/2018	1/14/2019
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	11/27/2018	7/24/2019
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	11/27/2018	7/24/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/28/2018	7/24/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/28/2018	7/24/2019
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	11/13/2018	7/25/2019
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	11/13/2018	7/25/2019
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	11/13/2018	7/25/2019
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	11/13/2018	7/25/2019
Inactive	Shelter General Insurance Company	301109	Agent - Casualty	12/30/2013	10/26/2017
Inactive	Shelter General Insurance Company	301109	Agent - Property	12/30/2013	10/26/2017
Inactive	Shelter Mutual Insurance Company	301870	Agent - Casualty	12/30/2013	10/26/2017
Inactive	Shelter Mutual Insurance Company	301870	Agent - Property	12/30/2013	10/26/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Selectquote Auto & Home Ins Services LLC	788155	Agent - Property	11/13/2018	7/24/2019
Inactive	Selectquote Auto & Home Ins Services LLC	788155	Agent - Casualty	11/13/2018	7/24/2019