DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Pelchat, Thomas	DOIID	1237476	NAIC NPN	5409684

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	2/19/2026		6/30/2027
Active	Non Resident	Agent	Property	2/19/2026		6/30/2027
Inactive	Non Resident	Agent	Personal Lines	10/18/2022	6/30/2025
* 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
Active	Bristol West Insurance Company	301655	Agent - Casualty	3/10/2026
Active	Bristol West Insurance Company	301655	Agent - Property	3/10/2026
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/10/2026
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/10/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Patra Corporation	804810	Agent - Casualty	3/10/2026
Active	Patra Corporation	804810	Agent - Property	3/10/2026