DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Beliz, Veronica Marie	DOIID	1237422	NAIC NPN	17856636

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	10/18/2022		10/31/2025
Active	Non Resident	Agent	Property	10/18/2022		10/31/2025
* 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	08/15/2025	10/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Bristol West Insurance Company	301655	Agent - Casualty	12/7/2023
Active	Bristol West Insurance Company	301655	Agent - Property	12/7/2023
Active	Dairyland Insurance Company	301370	Agent - Casualty	5/26/2023
Active	Dairyland Insurance Company	301370	Agent - Property	5/26/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	12/7/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	12/7/2023

Designated to act on behalf of the following Business Entities

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