DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hayzlett, Benjamin Peter	DOIID	867247	NAIC NPN	17485823

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	1/29/2015	1/3/2020
Inactive	Non Resident	Agent	Casualty	1/29/2015	1/3/2020
* 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	Dairyland Insurance Company	301370	Agent - Casualty	6/24/2015	12/14/2018
Inactive	Dairyland Insurance Company	301370	Agent - Property	6/24/2015	12/14/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/19/2016	5/22/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/19/2016	5/22/2019
Inactive	National General Insurance Company	300152	Agent - Casualty	2/2/2015	12/14/2018
Inactive	National General Insurance Company	300152	Agent - Property	2/2/2015	12/14/2018
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	3/25/2015	1/21/2019
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	3/25/2015	1/21/2019

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	2/9/2015	12/14/2018
Inactive	Affinity Brokerage, LLC	544886	Agent - Casualty	2/9/2015	12/14/2018
Inactive	CWI, LLC	662170	Agent - Property	2/9/2015	12/14/2018
Inactive	CWI, LLC	662170	Agent - Casualty	2/9/2015	12/14/2018
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Property	2/10/2015	12/14/2018
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Casualty	2/10/2015	12/14/2018
Inactive	National General Ins Marketing Inc	621228	Agent - Property	2/2/2015	12/14/2018
Inactive	National General Ins Marketing Inc	621228	Agent - Casualty	2/2/2015	12/14/2018