DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Phan, Nam H	DOIID	867056	NAIC NPN	17482849

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	1/27/2015		7/31/2026
Active	Non Resident	Agent	Property	1/27/2015		7/31/2026
* 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
Active	Dairyland Insurance Company	301370	Agent - Casualty	7/17/2015
Active	Dairyland Insurance Company	301370	Agent - Property	7/17/2015
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/19/2016
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/19/2016
Active	National General Insurance Company	300152	Agent - Casualty	1/30/2015
Active	National General Insurance Company	300152	Agent - Property	1/30/2015
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	3/27/2015
Active	Progressive Casualty Insurance Company	300696	Agent - Property	3/27/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Affinity Brokerage, LLC	544886	Agent - Property	2/9/2015
Active	Affinity Brokerage, LLC	544886	Agent - Casualty	2/9/2015
Inactive	CWI, LLC	662170	Agent - Property	2/9/2015	4/29/2024
Inactive	CWI, LLC	662170	Agent - Casualty	2/9/2015	4/29/2024
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Property	2/10/2015	4/29/2024
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Casualty	2/10/2015	4/29/2024
Active	Direct General Insurance Agency Inc	1018980	Agent - Property	9/18/2020
Active	Direct General Insurance Agency Inc	1018980	Agent - Casualty	9/18/2020
Active	National General Ins Marketing Inc	621228	Agent - Property	1/30/2015
Active	National General Ins Marketing Inc	621228	Agent - Casualty	1/30/2015