DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Benison, Tracey	DOIID	946699	NAIC NPN	17951419

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	3/3/2017	9/30/2021
Inactive	Non Resident	Agent	Casualty	3/3/2017	9/30/2021
Inactive	Non Resident	Agent	Health	3/3/2017	9/30/2021
Inactive	Non Resident	Agent	Life	3/3/2017	9/30/2021
* 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	Bristol West Insurance Company	301655	Agent - Casualty	4/4/2018	10/30/2020
Inactive	Bristol West Insurance Company	301655	Agent - Property	4/4/2018	10/30/2020
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/4/2018	10/30/2020
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/4/2018	10/30/2020
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	5/12/2017	9/30/2021
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	5/12/2017	9/30/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Insuramatch LLC	916753	Agent - Life
Denied	Insuramatch LLC	916753	Agent - Health
Inactive	Insuramatch LLC	916753	Agent - Property	5/12/2017	5/26/2020
Inactive	Insuramatch LLC	916753	Agent - Casualty	5/12/2017	5/26/2020