DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Borchik, Kristen	DOIID	872075	NAIC NPN	17417357

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	3/13/2015	10/4/2016
Inactive	Non Resident	Agent	Property	3/13/2015	10/4/2016
* 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	American Modern Select Insurance Company	581481	Agent - Casualty	4/24/2015	10/16/2015
Inactive	American Modern Select Insurance Company	581481	Agent - Property	4/24/2015	10/16/2015
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	1/20/2016	5/9/2016
Inactive	Dairyland Insurance Company	301370	Agent - Property	1/20/2016	5/9/2016
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/8/2015	5/27/2016
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/8/2015	5/27/2016
Inactive	Homesite Insurance Company	301139	Agent - Casualty	5/20/2015	10/26/2015
Inactive	Homesite Insurance Company	301139	Agent - Property	5/20/2015	10/26/2015
Inactive	National General Insurance Company	300152	Agent - Casualty	1/6/2016	5/3/2016
Inactive	National General Insurance Company	300152	Agent - Property	1/6/2016	5/3/2016
Inactive	Progressive Direct Insurance Company	301379	Agent - Casualty	3/17/2015	10/26/2015
Inactive	Progressive Direct Insurance Company	301379	Agent - Property	3/17/2015	10/26/2015
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	3/24/2015	10/14/2015
Inactive	QBE Insurance Corporation	300515	Agent - Property	3/24/2015	10/14/2015

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	1/21/2016	5/26/2016
Inactive	Affinity Brokerage, LLC	544886	Agent - Casualty	1/21/2016	5/26/2016
Inactive	CWI, LLC	662170	Agent - Property	1/21/2016	5/26/2016
Inactive	CWI, LLC	662170	Agent - Casualty	1/21/2016	5/26/2016
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Property	1/21/2016	5/26/2016
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Casualty	1/21/2016	5/26/2016
Inactive	National General Ins Marketing Inc	621228	Agent - Property	1/6/2016	5/3/2016
Inactive	National General Ins Marketing Inc	621228	Agent - Casualty	1/6/2016	5/3/2016
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Property	3/19/2015	5/27/2016
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	3/19/2015	5/27/2016