DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Siebold, David Kirk	DOIID	1221251	NAIC NPN	18979941

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	8/4/2022		3/31/2026
Active	Non Resident	Agent	Property	8/4/2022		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
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	9/20/2022	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	9/20/2022	12/20/2024
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	3/3/2023	2/12/2025
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	3/3/2023	2/12/2025
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	3/3/2023	2/12/2025
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	3/3/2023	2/12/2025
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/20/2022	2/12/2025
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/20/2022	2/12/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Policygenius LLC	874468	Agent - Casualty	12/28/2023	2/12/2025
Inactive	Policygenius LLC	874468	Agent - Property	12/28/2023	2/12/2025