DEPARTMENT OF INSURANCE

Affiliations

Name	Ezzell, Michael-Ray Zachary	DOIID	772843	NAIC NPN	16507077

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	1/19/2012	6/30/2020
Inactive	Non Resident	Agent	Property	1/19/2012	6/30/2020
* 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	American Family Home Insurance Company	301817	Agent - Casualty	9/19/2012	3/26/2019
Inactive	American Family Home Insurance Company	301817	Agent - Property	9/19/2012	3/26/2019
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	9/19/2012	3/26/2019
Inactive	American Modern Home Insurance Company	300791	Agent - Property	9/19/2012	3/26/2019
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	2/4/2014	3/26/2019
Inactive	American Modern Select Insurance Company	581481	Agent - Property	2/4/2014	3/26/2019
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	9/19/2012	3/26/2019
Inactive	American Southern Home Insurance Company	626276	Agent - Property	9/19/2012	3/26/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/16/2013	7/31/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/16/2013	7/31/2019
Inactive	GEICO Marine Insurance Company	590512	Agent - Casualty	1/24/2012	11/23/2015
Inactive	Government Employees Insurance Company	300376	Agent - Casualty	1/24/2012	11/7/2018
Inactive	Government Employees Insurance Company	300376	Agent - Property	1/24/2012	11/7/2018
Inactive	Homesite Insurance Company	301139	Agent - Casualty	12/4/2015	6/30/2020
Inactive	Homesite Insurance Company	301139	Agent - Property	12/4/2015	6/30/2020
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	7/12/2017	6/30/2020
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Property	7/12/2017	6/30/2020
Inactive	Jewelers Mutual Insurance Company, SI	301935	Agent - Casualty	4/4/2017	10/30/2018
Inactive	Jewelers Mutual Insurance Company, SI	301935	Agent - Property	4/4/2017	10/30/2018
Inactive	LM Insurance Corporation	301061	Agent - Casualty	6/11/2016	10/31/2018
Inactive	LM Insurance Corporation	301061	Agent - Property	6/11/2016	10/31/2018
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	5/26/2017	10/31/2018
Inactive	Liberty Insurance Corporation	300444	Agent - Property	5/26/2017	10/31/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Geico Insurance Agency, LLC	558517	Agent - Casualty	1/24/2012	11/7/2018
Inactive	Geico Insurance Agency, LLC	558517	Agent - Property	1/24/2012	11/7/2018