black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

ACRISURE GREAT LAKES PARTNERS INSURANCE SERVICES, LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN450447
Status:
First Licensure:
04/29/2023
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
100 OTTAWA AVE SW
GRAND RAPIDS, MI 49503-5087
Mailing:
PO BOX 1788
GRAND RAPIDS, MI 49501-1788
Phone:
+1 (800) 748-0351
Fax:
+1 (800) 847-3129
Email:
insurancelicensing@acrisure.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 04/29/2023 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACE AMERICAN INSURANCE COMPANY
03/31/2025 PCF640
ACE PROPERTY & CASUALTY INSURANCE COMPANY
04/10/2025 PCF44
ALL SAVERS INSURANCE COMPANY
03/12/2025 LHF233900
ALLMERICA FINANCIAL ALLIANCE INSURANCE COMPANY
10/30/2024 PCF75617
ALLMERICA FINANCIAL BENEFIT INSURANCE COMPANY
10/30/2024 PCF145893
AMERICAN FAMILY HOME INSURANCE
08/26/2024 PCF201383
AMERICAN MODERN PROPERTY & CASUALTY INSURANCE COMPANY
01/22/2024 PCF234561
AMTRUST INSURANCE COMPANY
12/29/2023 PCF260762
ANTHEM HEALTH PLANS OF MAINE INC.
12/31/2024 LHD70566
ANTHEM INSURANCE COMPANIES INC
01/01/2025 LHF125537
ANTHEM LIFE INSURANCE COMPANY
12/31/2024 LHF70467 04/11/2025
ARCH INDEMNITY INSURANCE COMPANY
02/05/2025 PCF674
ARCH INSURANCE COMPANY
02/05/2025 PCF62719
ATLANTIC STATES INSURANCE COMPANY
12/31/2024 PCF189117
CITIZENS INSURANCE COMPANY OF AMERICA
10/30/2024 PCF937
DONEGAL MUTUAL INSURANCE COMPANY
12/31/2024 PCF189037
EMPIRE HEALTHCHOICE HMO, INC.
01/01/2025 HMF285382
EMPLOYERS ASSURANCE COMPANY
03/27/2024 PCF285638
EMPLOYERS COMPENSATION INSURANCE COMPANY
03/27/2024 PCF285639
EMPLOYERS PREFERRED INSURANCE COMPANY
03/27/2024 PCF285637
EVEREST REINSURANCE COMPANY
04/01/2025 PCF757
FEDERAL INSURANCE COMPANY
03/31/2025 PCF439
THE HANOVER AMERICAN INSURANCE COMPANY
10/30/2024 PCF197298
THE HANOVER INSURANCE COMPANY
10/30/2024 PCF712
INDEMNITY INSURANCE COMPANY OF NORTH AMERICA
04/10/2025 PCF50104
MANUFACTURERS ALLIANCE INSURANCE COMPANY
09/24/2024 PCF82408
MASSACHUSETTS BAY INSURANCE COMPANY
10/30/2024 PCF505
PACIFIC INDEMNITY COMPANY
03/31/2025 PCF547
PENINSULA INSURANCE COMPANY-THE
12/31/2024 PCF120460
PENNSYLVANIA MANUFACTURERS INDEMNITY COMPANY
09/24/2024 PCF82412
PENNSYLVANIA MANUFACTURERS' ASSOCIATION INSURANCE COMPANY
09/24/2024 PCF82421
THE PHOENIX INSURANCE COMPANY
10/28/2024 PCF557
SECURITY NATIONAL INSURANCE COMPANY
12/29/2023 PCF189490
SELECTIVE INSURANCE COMPANY OF AMERICA
03/18/2025 PCF456095
SELECTIVE INSURANCE COMPANY OF SOUTH CAROLINA
03/18/2025 PCF456097
SELECTIVE INSURANCE COMPANY OF THE SOUTHEAST
03/18/2025 PCF456098
SELECTIVE WAY INSURANCE COMPANY
03/18/2025 PCF456096
SEQUOIA INSURANCE COMPANY
12/29/2023 PCF128467
THE STANDARD FIRE INSURANCE COMPANY
10/23/2024 PCF584
TECHNOLOGY INSURANCE COMPANY INC
12/29/2023 PCF136874
TRAVELERS CASUALTY AND SURETY COMPANY
10/23/2024 PCF348
TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
10/23/2024 PCF974
UNITEDHEALTHCARE INSURANCE COMPANY
03/12/2025 LHF700
UNITEDHEALTHCARE OF NEW ENGLAND, INC.
03/12/2025 HMF393375
VERLAN FIRE INSURANCE COMPANY
10/30/2024 PCF161934
WESCO INSURANCE COMPANY
12/29/2023 PCF49735
WESTCHESTER FIRE INSURANCE COMPANY
04/10/2025 PCF177973

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
JAMES R. ALTON
04/03/2025 PRN173678
SHANE ANDERSON
01/27/2025 PRN437630
EVAN BAHS
02/13/2025 PRN415412
BRUCE BALL
02/13/2025 PRN177067
BRIAN BECK
01/29/2025 PRN34151
TAMIRA A. BRIDGEMAN
02/18/2025 PRN220229
JEREMY BRYANT
04/17/2025 PRN211109
JENNIFER LYNNE CRUZ
02/18/2025 PRN129274
DANIEL CUSENZA
01/27/2025 PRN405912
CHRISTOPHER T. FISHER
02/13/2025 PRN182147
MARK E. FOGG
11/21/2024 PRN223172
HEATHER L. HANNA
12/06/2024 PRN261503
DAVID PERRY HUTTENLOCHER
02/13/2025 PRN69552
JAMES MICHAEL HUTTENLOCHER
02/14/2025 PRN69553
MICHAEL JAGER
02/14/2025 PRN386113
COURTNEY LYNNE KOLENDA
04/29/2023 PRN323398
MICHELLE R. KOOISTRA
01/23/2025 PRN215477
JARED LINDBOE
04/28/2025 PRN454530
THOMAS ANTHONY LUCCI
02/14/2025 PRN92518
JENNIFER MAY MAJSZAK
02/14/2025 PRN277034
DAWN MASSOM
01/24/2025 PRN414312
PAUL B. MAY
02/21/2025 PRN124397
JENNIFER MARIE MEEKHOF
02/14/2025 PRN476202
MICHAEL KELLY REED
03/24/2025 PRN270684
ROBERT BARKLEY RODDENBERRY
12/17/2024 PRN228354
MICHAEL SADLER
02/14/2025 PRN397143
EDWARD MAURICE SCHINNERER JR
02/21/2025 PRN38386
MICHAEL G. SHEETS
02/12/2025 PRN216131
SUSAN MARIE SIEGRIST-SWANSON
12/19/2024 PRN136664
LISA SLONE
12/02/2024 PRN441704
JANE M. STREETER
12/18/2024 PRN256388
ERIC S. TREEND
03/11/2025 PRN80862
KEVIN E. WHALEY
01/28/2025 PRN177335
DE LORNE YOUNG
04/29/2025 PRN284156

Supervised Entity

None.

Responsible Individual

Name License Number
COURTNEY LYNNE KOLENDA PRN323398

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20688358

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 05/14/2025 06:16:11 PM