DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hayes, Justin Mack	DOIID	837429	NAIC NPN	17232481

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Property	10/23/2017	4/1/2019
Inactive	Resident	Agent	Life	10/23/2017	4/1/2019
Inactive	Resident	Agent	Casualty	10/23/2017	4/1/2019
Inactive	Resident	Agent	Health	10/23/2017	4/1/2019
* 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	Auto Club Property-Casualty Insurance Company	650781	Agent - Casualty	5/16/2018	12/21/2018
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Property	5/16/2018	12/21/2018
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	3/13/2018	4/1/2019
Inactive	Bristol West Insurance Company	301655	Agent - Property	3/13/2018	4/1/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/13/2018	4/1/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/13/2018	4/1/2019
Inactive	Liberty National Life Insurance Company	300827	Agent - Health	6/19/2015	9/9/2015
Inactive	Liberty National Life Insurance Company	300827	Agent - Life	6/19/2015	9/9/2015
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	9/26/2018	4/1/2019
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	9/26/2018	4/1/2019
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	10/9/2018	4/1/2019
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	10/9/2018	4/1/2019
Inactive	Washington National Insurance Company	300587	Agent - Health	6/19/2018	4/1/2019
Inactive	Washington National Insurance Company	300587	Agent - Life	6/19/2018	4/1/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cornerstone Ins Agency LLC	949096	Agent - Life	9/24/2018	4/5/2019
Inactive	Cornerstone Ins Agency LLC	949096	Agent - Health	9/24/2018	4/5/2019
Inactive	Cornerstone Ins Agency LLC	949096	Agent - Property	9/24/2018	4/5/2019
Inactive	Cornerstone Ins Agency LLC	949096	Agent - Casualty	9/24/2018	4/5/2019