DEPARTMENT OF INSURANCE

Name	Hayward, Sharon Rose	DOIID	837774	NAIC NPN	1918095

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	4/7/2014	5/31/2020
Inactive	Non Resident	Agent	Property	4/7/2014	5/31/2020
Inactive	Non Resident	Agent	Health	4/7/2014	5/31/2020
Inactive	Non Resident	Agent	Life	4/7/2014	5/31/2020
Inactive	Non Resident	Reinsurance Intermediary Broker	Not Applicable	5/18/2017	5/31/2020
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	12/23/2014	1/17/2020

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	721 3 Mile Rd Ne Grand Rapids, MI 495053348
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(616) 745-0283