DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Islam, Khadijah	DOIID	1186480	NAIC NPN	5769614

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	2/4/2022	11/30/2024
Inactive	Non Resident	Agent	Casualty	2/4/2022	11/30/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	12/6/2023	2/19/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	12/6/2023	2/19/2024
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	4/4/2022	10/4/2024
Inactive	Dairyland Insurance Company	301370	Agent - Property	4/4/2022	10/4/2024
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	12/6/2023	2/19/2024
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	12/6/2023	2/19/2024
Inactive	Travelers Personal Insurance Company	705785	Agent - Casualty	5/11/2023	2/28/2024
Inactive	Travelers Personal Insurance Company	705785	Agent - Property	5/11/2023	2/28/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Breathe Easy Insurance Solutions, LLC	1056193	Agent - Casualty	9/5/2023	2/2/2024
Inactive	Breathe Easy Insurance Solutions, LLC	1056193	Agent - Property	9/5/2023	2/2/2024