DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Central Insurex Agency Inc	DOIID	833861	NAIC NPN	957636

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	2/14/2014		3/31/2026
Active	Non Resident	Agent	Casualty	2/14/2014		3/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	10/22/2019		3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2026	03/31/2026
Surplus Lines Broker	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	5/28/2014	9/25/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	5/28/2014	9/25/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	5/28/2014	5/10/2017
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	5/28/2014	5/10/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	5/28/2014	5/10/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	5/28/2014	5/10/2017
Inactive	Western Surety Company	300283	Agent - Casualty	3/6/2014	5/5/2016

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bermejo, Shelby Celeste	1015422	Agent - Casualty	11/7/2018	3/9/2021
Inactive	Bermejo, Shelby Celeste	1015422	Agent - Property	11/7/2018	3/9/2021
Inactive	Brown, Jason Channing	587205	Agent - Casualty	2/14/2014	9/27/2017
Inactive	Brown, Jason Channing	587205	Agent - Property	2/14/2014	9/27/2017
Active	Etzler, Kristine M	1034577	Agent - Casualty	5/3/2019
Active	Etzler, Kristine M	1034577	Agent - Property	5/3/2019
Active	Gearhart, Mitch	1038430	Agent - Casualty	6/14/2019
Active	Gearhart, Mitch	1038430	Agent - Property	6/14/2019
Active	Gearhart, Mitch	1038430	Surplus Lines Broker - Not Applicable	10/18/2019
Inactive	Muntzinger, Kurt R	833815	Agent - Casualty	5/28/2014	6/30/2019
Inactive	Muntzinger, Kurt R	833815	Agent - Property	5/28/2014	6/30/2019
Inactive	Muntzinger, Kurt R	833815	Surplus Lines Broker - Not Applicable	2/18/2014	6/30/2019