DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Chan, Bethany	DOIID	860265	NAIC NPN	17419501

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	11/10/2014	11/30/2017
Inactive	Non Resident	Agent	Property	11/10/2014	11/30/2017
* 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	AMCO Insurance Company	300204	Agent - Casualty	1/8/2015	11/30/2017
Inactive	AMCO Insurance Company	300204	Agent - Property	1/8/2015	11/30/2017
Inactive	Allied Property and Casualty Insurance Company	300279	Agent - Casualty	1/8/2015	11/30/2017
Inactive	Allied Property and Casualty Insurance Company	300279	Agent - Property	1/8/2015	11/30/2017
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	6/17/2015	8/21/2017
Inactive	Dairyland Insurance Company	301370	Agent - Property	6/17/2015	8/21/2017
Inactive	Depositors Insurance Company	301634	Agent - Casualty	1/8/2015	11/30/2017
Inactive	Depositors Insurance Company	301634	Agent - Property	1/8/2015	11/30/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	1/13/2015	8/10/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/13/2015	8/10/2017
Inactive	National General Insurance Company	300152	Agent - Casualty	12/1/2014	8/1/2017
Inactive	National General Insurance Company	300152	Agent - Property	12/1/2014	8/1/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	1/16/2015	8/7/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	1/16/2015	8/7/2017
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	1/16/2015	8/7/2017
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	1/16/2015	8/7/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Affinity Brokerage, LLC	544886	Agent - Property	12/24/2014	8/2/2017
Inactive	Affinity Brokerage, LLC	544886	Agent - Casualty	12/24/2014	8/2/2017
Inactive	CWI, LLC	662170	Agent - Property	1/6/2015	8/2/2017
Inactive	CWI, LLC	662170	Agent - Casualty	1/6/2015	8/2/2017
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Property	1/6/2015	8/2/2017
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Casualty	1/6/2015	8/2/2017
Inactive	National General Ins Marketing Inc	621228	Agent - Property	12/1/2014	8/2/2017
Inactive	National General Ins Marketing Inc	621228	Agent - Casualty	12/1/2014	8/2/2017