DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Greenwald, Thomas A	DOIID	957020	NAIC NPN	3328854

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	6/12/2017		12/31/2025
Active	Non Resident	Agent	Property	6/12/2017		12/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	6/17/2017		12/31/2025
* 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	AIG Property Casualty Company	300621	Agent - Casualty	12/4/2017	1/8/2019
Inactive	AIG Property Casualty Company	300621	Agent - Property	12/4/2017	1/8/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/18/2018	10/30/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/18/2018	10/30/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Convelo Ins Group LLC	960585	Agent - Property	7/18/2017	11/20/2019
Inactive	Convelo Ins Group LLC	960585	Agent - Casualty	7/18/2017	11/20/2019
Active	Convelo Ins Group LLC	960585	Surplus Lines Broker - Not Applicable	7/24/2017
Inactive	Insur Risk Management Services, LLC	1081105	Agent - Property	4/14/2020	12/16/2020
Inactive	Insur Risk Management Services, LLC	1081105	Agent - Casualty	4/14/2020	12/16/2020
Inactive	Insur Risk Management Services, LLC	1081105	Surplus Lines Broker - Not Applicable	4/14/2020	12/16/2020