DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Natalie Kristin	DOIID	879131	NAIC NPN	17080347

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	10/31/2018	9/30/2023
Inactive	Non Resident	Agent	Property	10/31/2018	9/30/2023
Inactive	Non Resident	Staff Adjuster	Property & Casualty	5/4/2016	11/2/2018
* 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	Bristol West Insurance Company	301655	Agent - Casualty	6/6/2015	2/19/2016
Inactive	Bristol West Insurance Company	301655	Agent - Property	6/6/2015	2/19/2016
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/16/2018	8/17/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/16/2018	8/17/2022
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	11/16/2018	8/17/2022
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	11/16/2018	8/17/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fx Insurance Agency, LLC	646184	Agent - Property	11/16/2018	8/17/2022
Inactive	Fx Insurance Agency, LLC	646184	Agent - Casualty	11/16/2018	8/17/2022