DEPARTMENT OF INSURANCE

Name	Acrisure Mid-Atlantic Partners Insurance Services LLC	DOIID	1272151	NAIC NPN	20692881

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	5/2/2023	3/31/2025
Active	Non Resident	Agent	Life	5/2/2023	3/31/2025
Active	Non Resident	Agent	Casualty	5/2/2023	3/31/2025
Active	Non Resident	Agent	Health	5/2/2023	3/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	5/24/2023	3/31/2025

*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	01/15/2025	03/31/2025
Surplus Lines Broker	01/15/2025	03/31/2025

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.

Address Information

Type	Address
Business / Home Office	100 Ottawa Avenue Sw Grand Rapids, MI 49503

Phone Information

Type	Phone
Business / Home Office	(800) 748-0351