DEPARTMENT OF INSURANCE

Affiliations

Name	Phan, Ken	DOIID	888066	NAIC NPN	16142279

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	8/21/2015	6/30/2021
Inactive	Non Resident	Agent	Casualty	8/21/2015	6/30/2021
Inactive	Non Resident	Staff Adjuster	Property & Casualty	6/22/2020	6/30/2021
* 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 Home Insurance Company	300791	Agent - Casualty	6/21/2020	7/14/2020
Inactive	American Modern Home Insurance Company	300791	Agent - Property	6/21/2020	7/14/2020
Inactive	American Strategic Insurance Corp	883540	Agent - Casualty	6/16/2020	6/30/2021
Inactive	American Strategic Insurance Corp	883540	Agent - Property	6/16/2020	6/30/2021
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	2/26/2018	3/8/2019
Inactive	Bristol West Insurance Company	301655	Agent - Property	2/26/2018	3/8/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	5/10/2019	6/30/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	5/10/2019	6/30/2021
Inactive	Homesite Insurance Company	301139	Agent - Casualty	3/14/2018	6/30/2021
Inactive	Homesite Insurance Company	301139	Agent - Property	3/14/2018	6/30/2021
Inactive	LM General Insurance Company	300133	Agent - Casualty	6/23/2017	3/5/2019
Inactive	LM General Insurance Company	300133	Agent - Property	6/23/2017	3/5/2019
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	6/23/2017	3/5/2019
Inactive	Liberty Insurance Corporation	300444	Agent - Property	6/23/2017	3/5/2019
Inactive	National Casualty Company	301483	Agent - Casualty	8/25/2015	7/27/2016
Inactive	National Casualty Company	301483	Agent - Property	8/25/2015	7/27/2016
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	3/15/2018	4/22/2019
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	3/15/2018	4/22/2019
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	2/22/2018	8/7/2018
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	2/22/2018	8/7/2018
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	2/22/2018	8/7/2018
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	2/22/2018	8/7/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	DVM Insurance Agency	636779	Agent - Property	9/4/2015	7/27/2016
Inactive	DVM Insurance Agency	636779	Agent - Casualty	9/4/2015	7/27/2016