DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Scrivo, Rachael Kathleen	DOIID	839340	NAIC NPN	16299438

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	4/26/2014	2/28/2018
Inactive	Non Resident	Agent	Health	4/26/2014	2/28/2018
Inactive	Non Resident	Agent	Property	4/26/2014	2/28/2018
Inactive	Non Resident	Agent	Life	4/26/2014	2/28/2018
* 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	3/13/2015	10/1/2015
Inactive	Bristol West Insurance Company	301655	Agent - Property	3/13/2015	10/1/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/25/2014	7/20/2016
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/25/2014	7/20/2016
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	3/13/2015	7/20/2016
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	3/13/2015	7/20/2016
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	3/13/2015	7/20/2016
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	3/13/2015	7/20/2016
Inactive	GuideOne Elite Insurance Company	300490	Agent - Casualty	6/4/2014	6/7/2016
Inactive	GuideOne Elite Insurance Company	300490	Agent - Property	6/4/2014	6/7/2016
Inactive	GuideOne Insurance Company	301794	Agent - Casualty	6/4/2014	6/7/2016
Inactive	GuideOne Insurance Company	301794	Agent - Property	6/4/2014	6/7/2016
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Casualty	6/4/2014	6/7/2016
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Property	6/4/2014	6/7/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Max Ins Agency Inc	588185	Agent - Property	7/18/2014	6/10/2016
Inactive	Max Ins Agency Inc	588185	Agent - Casualty	7/18/2014	6/10/2016