DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Thomas, Keisha Lanette	DOIID	882826	NAIC NPN	17436703

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	7/9/2015	5/16/2018
Inactive	Non Resident	Agent	Casualty	7/9/2015	5/16/2018
* 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	Dairyland Insurance Company	301370	Agent - Casualty	1/10/2017	6/1/2017
Inactive	Dairyland Insurance Company	301370	Agent - Property	1/10/2017	6/1/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	1/13/2017	6/8/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/13/2017	6/8/2017
Inactive	National General Insurance Company	300152	Agent - Casualty	12/27/2016	5/16/2017
Inactive	National General Insurance Company	300152	Agent - Property	12/27/2016	5/16/2017
Inactive	Permanent General Assurance Corporation of Ohio	709250	Agent - Casualty	7/15/2015	10/22/2015
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	2/24/2017	6/26/2017
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	2/24/2017	6/26/2017
Inactive	United Financial Casualty Company	301886	Agent - Casualty	2/24/2017	6/26/2017
Inactive	United Financial Casualty Company	301886	Agent - Property	2/24/2017	6/26/2017

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	1/5/2017	5/23/2017
Inactive	Affinity Brokerage, LLC	544886	Agent - Casualty	1/5/2017	5/23/2017
Inactive	General Automobile Ins Services Inc	706632	Agent - Casualty	7/15/2015	10/22/2015