DEPARTMENT OF INSURANCE
Affiliations
NameJustice, Wayne DOIID810214NAIC NPN16960342
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentPersonal Lines12/11/20152/28/2019 
ActiveNon ResidentIndependent AdjusterProperty & Casualty12/13/2021 2/28/2027
InactiveNon ResidentStaff AdjusterProperty & Casualty5/15/20132/28/2015 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Independent Adjuster12/15/202602/28/2027   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBristol West Insurance Company301655Agent - Personal Lines4/13/201711/20/2017
InactiveDairyland Insurance Company301370Agent - Personal Lines3/31/201711/11/2017
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Personal Lines4/13/201711/20/2017
InactiveNational General Insurance Company300152Agent - Personal Lines3/27/201710/30/2017
InactiveUnited Services Automobile Association300158Agent - Personal Lines12/17/201510/5/2016
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveNational General Ins Marketing Inc621228Agent - Personal Lines3/27/201711/13/2017
InactiveUSAA Financial Planning Services Ins Agency Inc579485Agent - Personal Lines12/29/201510/4/2016

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