DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Klackle, Kristen	DOIID	972245	NAIC NPN	18047852

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	10/11/2017	8/31/2019
Inactive	Non Resident	Agent	Casualty	10/11/2017	8/31/2019
* 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	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/5/2018	8/29/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/5/2018	8/29/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	6/5/2018	8/29/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	6/5/2018	8/29/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	6/5/2018	8/29/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	6/5/2018	8/29/2018
Inactive	General Casualty Company of Wisconsin	300930	Agent - Casualty	11/16/2017	11/28/2018
Inactive	General Casualty Company of Wisconsin	300930	Agent - Property	11/16/2017	11/28/2018
Inactive	Regent Insurance Company	300411	Agent - Casualty	11/16/2017	11/28/2018
Inactive	Regent Insurance Company	300411	Agent - Property	11/16/2017	11/28/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	11/16/2017	11/28/2018
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	11/16/2017	11/28/2018
Denied	Usi Insurance Services LLC	669260	Agent - Property
Denied	Usi Insurance Services LLC	669260	Agent - Casualty