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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	05/15/2026	07/31/2026

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