DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Dietz, Mindy G	DOIID	382714	NAIC NPN	1792302

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	8/15/2000	10/31/2015
Inactive	Non Resident	Agent	Property	8/15/2000	10/31/2015
Inactive	Non Resident	Agent	General Lines	9/15/1998	8/15/2000
* 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	Amica Mutual Insurance Company	301405	Agent - Casualty	8/15/2000	4/17/2014
Inactive	Amica Mutual Insurance Company	301405	Agent - General Lines	9/15/1998	8/15/2000
Inactive	Amica Mutual Insurance Company	301405	Agent - Property	8/15/2000	4/17/2014
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/25/2004	9/7/2011
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/25/2004	9/7/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Amica General Agency, LLC	509383	Agent - General Lines	5/5/2000	8/15/2000
Inactive	Amica General Agency, LLC	509383	Agent - Property	8/15/2000	4/17/2014
Inactive	Amica General Agency, LLC	509383	Agent - Casualty	8/15/2000	4/17/2014