DEPARTMENT OF INSURANCE
Affiliations
NameVan Dillen, Perry DavidDOIID948127NAIC NPN16465888
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentProperty3/17/2017 3/31/2026
ActiveNon ResidentAgentCasualty3/17/2017 3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202603/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveBristol West Insurance Company301655Agent - Casualty2/28/2020 
ActiveBristol West Insurance Company301655Agent - Property2/28/2020 
ActiveFarmers Direct Property and Casualty Insurance Company300957Agent - Casualty5/30/2024 
ActiveFarmers Direct Property and Casualty Insurance Company300957Agent - Property5/30/2024 
ActiveFarmers Insurance Exchange300336Agent - Casualty8/1/2024 
ActiveFarmers Insurance Exchange300336Agent - Property8/1/2024 
ActiveFarmers Property and Casualty Insurance Company301237Agent - Casualty5/30/2024 
ActiveFarmers Property and Casualty Insurance Company301237Agent - Property5/30/2024 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty3/21/2017 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property3/21/2017 
ActiveForemost Property and Casualty Insurance Company300871Agent - Casualty3/21/2017 
ActiveForemost Property and Casualty Insurance Company300871Agent - Property3/21/2017 
ActiveIndependence American Insurance Company524747Agent - Casualty6/5/2025 
ActiveIndependence American Insurance Company524747Agent - Property6/5/2025 
InactiveProgressive Casualty Insurance Company300696Agent - Casualty1/16/20242/11/2025
InactiveProgressive Casualty Insurance Company300696Agent - Property1/16/20242/11/2025
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveFarmers General Insurance Agency, Inc.516608Agent - Casualty4/3/2024 
ActiveFarmers General Insurance Agency, Inc.516608Agent - Property4/3/2024 
InactiveForemost Express Insurance Agency Inc.515334Agent - Casualty12/18/201712/31/2018
InactiveForemost Express Insurance Agency Inc.515334Agent - Property12/18/201712/31/2018
ActiveFx Insurance Agency, LLC646184Agent - Casualty12/31/2018 
ActiveFx Insurance Agency, LLC646184Agent - Property12/31/2018 
ActiveKraft Lake Insurance Agency, Inc.658511Agent - Casualty5/16/2025 
ActiveKraft Lake Insurance Agency, Inc.658511Agent - Property5/16/2025 

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