DEPARTMENT OF INSURANCE
Affiliations
NameLopez, Carlos FDOIID1166380NAIC NPN18103331
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentProperty7/30/2024 3/31/2027
ActiveNon ResidentAgentCasualty7/30/2024 3/31/2027
* 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
Agent01/15/202703/31/2027   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveBristol West Insurance Company301655Agent - Casualty10/16/2025 
ActiveBristol West Insurance Company301655Agent - Property10/16/2025 
InactiveCSAA Fire & Casualty Insurance Company606666Agent - Casualty10/16/202111/19/2021
InactiveCSAA Fire & Casualty Insurance Company606666Agent - Property10/16/202111/19/2021
InactiveCSAA General Insurance Company606675Agent - Casualty10/16/202111/19/2021
InactiveCSAA General Insurance Company606675Agent - Property10/16/202111/19/2021
InactiveFarmers Property and Casualty Insurance Company301237Agent - Casualty11/2/20242/6/2025
InactiveFarmers Property and Casualty Insurance Company301237Agent - Property11/2/20242/6/2025
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty10/16/2025 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property10/16/2025 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactivePolly Insurance Agency, LLC992125Agent - Casualty10/20/202111/16/2021
InactivePolly Insurance Agency, LLC992125Agent - Property10/20/202111/16/2021

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