DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Spivey, Randi Patricia	DOIID	859485	NAIC NPN	8657749

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	9/16/2022		12/31/2024
Active	Non Resident	Agent	Property	9/16/2022		12/31/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Connect Property and Casualty Insurance Company	622403	Agent - Casualty	11/10/2014	12/28/2016
Inactive	American Family Connect Property and Casualty Insurance Company	622403	Agent - Property	11/10/2014	12/28/2016
Active	Bristol West Insurance Company	301655	Agent - Casualty	12/7/2023
Active	Bristol West Insurance Company	301655	Agent - Property	12/7/2023
Active	Dairyland Insurance Company	301370	Agent - Casualty	2/7/2023
Active	Dairyland Insurance Company	301370	Agent - Property	2/7/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	12/7/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	12/7/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Breathe Easy Insurance Solutions, LLC	1056193	Agent - Property	9/5/2023
Active	Breathe Easy Insurance Solutions, LLC	1056193	Agent - Casualty	9/5/2023