DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	First Citizens National Bank Insurance LLC	DOIID	1073586	NAIC NPN	19417322

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	2/7/2020		3/31/2026
Active	Non Resident	Agent	Health	2/7/2020		3/31/2026
Active	Non Resident	Agent	Casualty	2/7/2020		3/31/2026
Active	Non Resident	Agent	Life	2/7/2020		3/31/2026
* 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	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	5/21/2020
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	5/21/2020
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	4/3/2020
Active	Progressive Casualty Insurance Company	300696	Agent - Property	4/3/2020
Active	United Financial Casualty Company	301886	Agent - Casualty	4/3/2020
Active	United Financial Casualty Company	301886	Agent - Property	4/3/2020

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Chesky, Jeffrey Carl	692036	Agent - Casualty	2/7/2020
Active	Chesky, Jeffrey Carl	692036	Agent - Health	2/7/2020
Active	Chesky, Jeffrey Carl	692036	Agent - Life	2/7/2020
Active	Chesky, Jeffrey Carl	692036	Agent - Property	2/7/2020