DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Blake, Kameron	DOIID	870373	NAIC NPN	17118218

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	2/26/2015		5/31/2025
Active	Non Resident	Agent	Casualty	2/26/2015		5/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/16/2016
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/16/2016
Active	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	3/16/2016
Active	Foremost Property and Casualty Insurance Company	300871	Agent - Property	3/16/2016
Active	Midvale Indemnity Company	300292	Agent - Casualty	11/27/2018
Active	Midvale Indemnity Company	300292	Agent - Property	11/27/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Foremost Express Insurance Agency Inc.	515334	Agent - Casualty	12/18/2017	12/31/2018
Inactive	Foremost Express Insurance Agency Inc.	515334	Agent - Property	12/18/2017	12/31/2018
Active	Fx Insurance Agency, LLC	646184	Agent - Casualty	12/31/2018
Active	Fx Insurance Agency, LLC	646184	Agent - Property	12/31/2018
Active	Kraft Lake Insurance Agency, Inc.	658511	Agent - Casualty	3/20/2023
Active	Kraft Lake Insurance Agency, Inc.	658511	Agent - Property	3/20/2023