DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Gilchrist, Tracy Lee	DOIID	576183	NAIC NPN	4587375

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	9/16/2003	12/31/2015
Inactive	Non Resident	Agent	Casualty	9/16/2003	12/31/2015
* 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	9/25/2003	1/29/2014
Inactive	Amica Mutual Insurance Company	301405	Agent - Property	9/25/2003	1/29/2014
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	10/13/2008	11/22/2013
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	10/13/2008	11/22/2013

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 - Casualty	6/29/2007	1/29/2014
Inactive	Amica General Agency, LLC	509383	Agent - Property	6/29/2007	1/29/2014