DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Maciszewski, Dorota	DOIID	1059409	NAIC NPN	13373566

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	10/7/2019		4/30/2026
Active	Non Resident	Agent	Property	10/7/2019		4/30/2026
* 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	02/15/2026	04/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	10/9/2019	10/21/2025
Inactive	Dairyland Insurance Company	301370	Agent - Property	10/9/2019	10/21/2025
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/1/2020
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/1/2020
Inactive	Sentry Select Insurance Company	301648	Agent - Casualty	10/9/2019	10/21/2025
Inactive	Sentry Select Insurance Company	301648	Agent - Property	10/9/2019	10/21/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Parker Stevens Agency LLC	558419	Agent - Casualty	1/7/2022
Active	Parker Stevens Agency LLC	558419	Agent - Property	1/7/2022