DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bagley, Timothy Lamont	DOIID	925628	NAIC NPN	17310967

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	11/11/2020	1/5/2023
Inactive	Non Resident	Agent	Casualty	11/11/2020	1/5/2023
Inactive	Non Resident	Staff Adjuster	Property & Casualty	5/11/2018	10/31/2021
* 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 Family Connect Property and Casualty Insurance Company	622403	Agent - Casualty	11/20/2020	10/3/2022
Inactive	American Family Connect Property and Casualty Insurance Company	622403	Agent - Property	11/20/2020	10/3/2022
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	12/17/2020	6/28/2022
Inactive	American Modern Home Insurance Company	300791	Agent - Property	12/17/2020	6/28/2022
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	4/18/2021	6/28/2022
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Property	4/18/2021	6/28/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	12/16/2020	5/17/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	12/16/2020	5/17/2022
Inactive	Homesite Insurance Company	301139	Agent - Casualty	12/11/2020	6/9/2022
Inactive	Homesite Insurance Company	301139	Agent - Property	12/11/2020	6/9/2022
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	12/11/2020	6/9/2022
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Property	12/11/2020	6/9/2022
Inactive	Midvale Indemnity Company	300292	Agent - Casualty	12/11/2020	6/9/2022
Inactive	Midvale Indemnity Company	300292	Agent - Property	12/11/2020	6/9/2022
Inactive	RLI Insurance Company	301217	Agent - Casualty	12/29/2020	6/14/2022
Inactive	RLI Insurance Company	301217	Agent - Property	12/29/2020	6/14/2022

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	12/3/2020	10/3/2022
Inactive	American Family Connect Insurance Agency, Inc.	619157	Agent - Casualty	12/3/2020	10/3/2022