DEPARTMENT OF INSURANCE
Affiliations
NameGenzink, Timothy ScottDOIID838599NAIC NPN984123
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife4/17/2014 8/31/2025
ActiveNon ResidentAgentHealth4/17/2014 8/31/2025
ActiveNon ResidentAgentProperty4/17/2014 8/31/2025
ActiveNon ResidentAgentCasualty4/17/2014 8/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent06/15/202508/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveGreat West Casualty Company301015Agent - Casualty2/17/2016 
ActiveGreat West Casualty Company301015Agent - Property2/17/2016 
InactiveProtective Insurance Company301117Agent - Casualty11/10/201510/26/2018
InactiveProtective Insurance Company301117Agent - Property11/10/201510/26/2018
InactiveSagamore Insurance Company300942Agent - Casualty8/11/201710/26/2018
InactiveSagamore Insurance Company300942Agent - Property8/11/201710/26/2018
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAcrisure Great Lakes Partners Insurance Services LLC1271471Agent - Casualty1/23/2025 
ActiveAcrisure Great Lakes Partners Insurance Services LLC1271471Agent - Property1/23/2025 
DeniedAcrisure Great Lakes Partners Insurance Services LLC1271471Agent - Life  
DeniedAcrisure Great Lakes Partners Insurance Services LLC1271471Agent - Health  
InactiveAcrisure LLC696181Agent - Casualty11/26/20241/23/2025
InactiveAcrisure LLC696181Agent - Property11/26/20241/23/2025
DeniedAcrisure LLC696181Agent - Life  
DeniedAcrisure LLC696181Agent - Health  

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