PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameLarsen, Zakary DaneDOIID838723NAIC NPN17243176
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentProperty12/9/20175/31/2020 
InactiveNon ResidentAgentCasualty12/9/20175/31/2020 
InactiveNon ResidentStaff AdjusterProperty & Casualty4/18/20145/31/2016 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty1/9/20187/16/2018
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property1/9/20187/16/2018
InactiveForemost Property and Casualty Insurance Company300871Agent - Casualty1/9/20187/16/2018
InactiveForemost Property and Casualty Insurance Company300871Agent - Property1/9/20187/16/2018
InactiveForemost Signature Insurance Company300140Agent - Casualty1/9/20187/16/2018
InactiveForemost Signature Insurance Company300140Agent - Property1/9/20187/16/2018
InactiveGuideOne Elite Insurance Company300490Agent - Casualty1/4/20185/31/2020
InactiveGuideOne Elite Insurance Company300490Agent - Property1/4/20185/31/2020
InactiveGuideOne Insurance Company301794Agent - Casualty1/4/20185/31/2020
InactiveGuideOne Insurance Company301794Agent - Property1/4/20185/31/2020
InactiveGuideOne Specialty Insurance Company300278Agent - Casualty1/4/20185/31/2020
InactiveGuideOne Specialty Insurance Company300278Agent - Property1/4/20185/31/2020
InactiveSAFECO Insurance Company of America300159Agent - Casualty1/3/20187/20/2018
InactiveSAFECO Insurance Company of America300159Agent - Property1/3/20187/20/2018
InactiveSAFECO Insurance Company of Illinois301350Agent - Casualty1/3/20187/20/2018
InactiveSAFECO Insurance Company of Illinois301350Agent - Property1/3/20187/20/2018
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveMax Ins Agency Inc588185Agent - Property1/3/20182/14/2019
InactiveMax Ins Agency Inc588185Agent - Casualty1/3/20182/14/2019

© Commonwealth of Kentucky. All rights reserved.