DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Bustamante, Gema	DOIID	935555	NAIC NPN	17905524

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	11/1/2016	4/2/2020
Inactive	Non Resident	Agent	Property	11/1/2016	4/2/2020
* 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	Bristol West Insurance Company	301655	Agent - Casualty	12/13/2016	8/2/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	12/13/2016	8/2/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	12/13/2016	8/2/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	12/13/2016	8/2/2017
Inactive	Praetorian Insurance Company	301021	Agent - Casualty	8/9/2017	4/3/2019
Inactive	Praetorian Insurance Company	301021	Agent - Property	8/9/2017	4/3/2019
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	8/9/2017	4/3/2019
Inactive	QBE Insurance Corporation	300515	Agent - Property	8/9/2017	4/3/2019
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	11/16/2016	8/1/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	11/16/2016	8/1/2017
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	11/16/2016	8/1/2017
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	11/16/2016	8/1/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Property	12/6/2016	7/26/2017
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Casualty	12/6/2016	7/26/2017
Inactive	Westwood Insurance Agency, LLC	534091	Agent - Property	8/9/2017	4/3/2019
Inactive	Westwood Insurance Agency, LLC	534091	Agent - Casualty	8/9/2017	4/3/2019