DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Washington, Spacish F	DOIID	992627	NAIC NPN	18768363

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	4/27/2018	7/31/2019
Inactive	Non Resident	Agent	Casualty	4/27/2018	7/31/2019
Active	Non Resident	Staff Adjuster	Property & Casualty	5/31/2022		7/31/2027
* 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
Staff Adjuster	05/15/2025	07/31/2025	05/13/2025	05/13/2025	Yes

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	5/18/2018	8/20/2019
Inactive	Bristol West Insurance Company	301655	Agent - Property	5/18/2018	8/20/2019
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	5/18/2018	7/31/2019
Inactive	Dairyland Insurance Company	301370	Agent - Property	5/18/2018	7/31/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	5/24/2018	8/20/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	5/24/2018	8/20/2019
Inactive	National General Insurance Company	300152	Agent - Casualty	4/30/2018	7/22/2019
Inactive	National General Insurance Company	300152	Agent - Property	4/30/2018	7/22/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	National General Ins Marketing Inc	621228	Agent - Property	4/30/2018	7/19/2019
Inactive	National General Ins Marketing Inc	621228	Agent - Casualty	4/30/2018	7/19/2019