DEPARTMENT OF INSURANCE

Affiliations

Name	Sigmond, Marisa Dawn	DOIID	962659	NAIC NPN	14763454

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Casualty	5/11/2023	9/30/2026
Pending Replacement	Non Resident	Agent	Property	5/11/2023	9/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	07/15/2026	09/30/2026

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	10/14/2025	9/14/2026
Inactive	American Family Connect Property and Casualty Insurance Company	622403	Agent - Property	10/14/2025	9/14/2026
Inactive	American Pet Insurance Company, Inc.	301240	Agent - Casualty	6/8/2023	4/2/2025
Inactive	American Pet Insurance Company, Inc.	301240	Agent - Property	6/8/2023	4/2/2025
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	6/17/2026	9/17/2026
Inactive	Bristol West Insurance Company	301655	Agent - Property	6/17/2026	9/17/2026
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	8/10/2017	12/28/2018
Inactive	Dairyland Insurance Company	301370	Agent - Property	8/10/2017	12/28/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/17/2026	9/17/2026
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/17/2026	9/17/2026
Inactive	Homesite Insurance Company	301139	Agent - Casualty	10/14/2025	9/14/2026
Inactive	Homesite Insurance Company	301139	Agent - Property	10/14/2025	9/14/2026
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	10/14/2025	9/14/2026
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Property	10/14/2025	9/14/2026
Inactive	Independence American Insurance Company	524747	Agent - Casualty	6/12/2023	4/8/2025
Inactive	Independence American Insurance Company	524747	Agent - Property	6/12/2023	4/8/2025
Inactive	Midvale Indemnity Company	300292	Agent - Casualty	10/14/2025	9/14/2026
Inactive	Midvale Indemnity Company	300292	Agent - Property	10/14/2025	9/14/2026
Inactive	Sentry Select Insurance Company	301648	Agent - Casualty	9/15/2017	12/28/2018
Inactive	Sentry Select Insurance Company	301648	Agent - Property	9/15/2017	12/28/2018

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	11/14/2025	9/17/2026
Inactive	American Family Connect Insurance Agency, Inc.	619157	Agent - Casualty	11/14/2025	9/17/2026