DEPARTMENT OF INSURANCE
Affiliations
NameBlake, Kameron DOIID870373NAIC NPN17118218
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentProperty2/26/2015 5/31/2025
ActiveNon ResidentAgentCasualty2/26/2015 5/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent03/15/202505/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty3/16/20167/24/2024
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property3/16/20167/24/2024
InactiveForemost Property and Casualty Insurance Company300871Agent - Casualty3/16/20167/24/2024
InactiveForemost Property and Casualty Insurance Company300871Agent - Property3/16/20167/24/2024
ActiveMidvale Indemnity Company300292Agent - Casualty11/27/2018 
ActiveMidvale Indemnity Company300292Agent - Property11/27/2018 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveForemost Express Insurance Agency Inc.515334Agent - Casualty12/18/201712/31/2018
InactiveForemost Express Insurance Agency Inc.515334Agent - Property12/18/201712/31/2018
ActiveFx Insurance Agency, LLC646184Agent - Casualty12/31/2018 
ActiveFx Insurance Agency, LLC646184Agent - Property12/31/2018 
ActiveKraft Lake Insurance Agency, Inc.658511Agent - Casualty3/20/2023 
ActiveKraft Lake Insurance Agency, Inc.658511Agent - Property3/20/2023 

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