DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Sayachack, Annoi	DOIID	881759	NAIC NPN	17630362

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	6/26/2015	6/30/2018
Inactive	Non Resident	Agent	Casualty	6/26/2015	6/30/2018
* 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	10/28/2015	5/15/2018
Inactive	Bristol West Insurance Company	301655	Agent - Property	10/28/2015	5/15/2018
Inactive	Farmers Casualty Insurance Company	301616	Agent - Casualty	11/3/2016	4/4/2018
Inactive	Farmers Casualty Insurance Company	301616	Agent - Property	11/3/2016	4/4/2018
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	11/3/2016	4/4/2018
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	11/3/2016	4/4/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/17/2015	5/15/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/17/2015	5/15/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	12/17/2015	8/21/2017
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	12/17/2015	8/21/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	12/17/2015	8/21/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	12/17/2015	8/21/2017
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	8/3/2015	4/13/2018
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	8/3/2015	4/13/2018
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	7/16/2015	4/2/2018
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	7/16/2015	4/2/2018
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	7/16/2015	4/2/2018
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	7/16/2015	4/2/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Property	8/17/2015	4/3/2018
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Casualty	8/17/2015	4/3/2018