DEPARTMENT OF INSURANCE
Affiliations
NameDombrowski, Ethan DOIID1125251NAIC NPN19827706
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentProperty8/16/2025 4/30/2027
ActiveNon ResidentAgentCasualty8/16/2025 4/30/2027
ActiveNon ResidentAgentPersonal Lines3/18/2021 4/30/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent02/15/202704/30/2027   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveBristol West Insurance Company301655Agent - Personal Lines3/23/2021 
ActiveFarmers Insurance Exchange300336Agent - Personal Lines3/23/2021 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Personal Lines3/14/2022 
ActiveForemost Property and Casualty Insurance Company300871Agent - Personal Lines3/14/2022 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveFx Insurance Agency, LLC646184Agent - Personal Lines3/24/2021 

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