DEPARTMENT OF INSURANCE
Affiliations
NameUrey, Clemenceau DOIID1129845NAIC NPN19602470
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentCasualty4/15/2021 5/31/2027
ActiveNon ResidentAgentProperty4/15/2021 5/31/2027
* 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
Agent03/15/202705/31/2027   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAmerican Family Home Insurance Company301817Agent - Casualty12/7/2021 
ActiveAmerican Family Home Insurance Company301817Agent - Property12/7/2021 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty1/23/2025 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property1/23/2025 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican Collectors Insurance LLC835172Agent - Casualty11/15/20231/28/2026
InactiveAmerican Collectors Insurance LLC835172Agent - Property11/15/20231/28/2026

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