DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hack, Kenneth	DOIID	911803	NAIC NPN	3163251

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	4/5/2016	10/31/2017
Inactive	Non Resident	Agent	Casualty	4/5/2016	10/31/2017
* 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	Allied Insurance Company of America	793586	Agent - Casualty	5/5/2016	10/31/2017
Inactive	Allied Insurance Company of America	793586	Agent - Property	5/5/2016	10/31/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/21/2016	9/15/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/21/2016	9/15/2017
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	6/21/2016	9/15/2017
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	6/21/2016	9/15/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	6/21/2016	9/15/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	6/21/2016	9/15/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	5/5/2016	9/11/2017
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	5/5/2016	9/11/2017