DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Zakowski, Lauren	DOIID	879211	NAIC NPN	17601932

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	5/29/2015	1/19/2017
Inactive	Non Resident	Agent	Property	5/29/2015	1/19/2017
Active	Non Resident	Staff Adjuster	Property & Casualty	2/24/2017		12/31/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Staff Adjuster	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Connect Property and Casualty Insurance Company	622403	Agent - Casualty	6/3/2015	12/27/2016
Inactive	American Family Connect Property and Casualty Insurance Company	622403	Agent - Property	6/3/2015	12/27/2016
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	8/18/2015	1/19/2017
Inactive	American Modern Select Insurance Company	581481	Agent - Property	8/18/2015	1/19/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/17/2015	1/19/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/17/2015	1/19/2017
Inactive	RLI Insurance Company	301217	Agent - Casualty	6/16/2015	11/18/2016
Inactive	RLI Insurance Company	301217	Agent - Property	6/16/2015	11/18/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Connect Insurance Agency, Inc.	619157	Agent - Property	6/3/2015	1/19/2017
Inactive	American Family Connect Insurance Agency, Inc.	619157	Agent - Casualty	6/3/2015	1/19/2017