black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

ACRISURE MIDWEST PARTNERS INSURANCE SERVICES, LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN450442
Status:
Active
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
 08/19/2025 PCF640
ACE FIRE UNDERWRITERS INSURANCE COMPANY
 08/19/2025 PCF43
ACE PROPERTY & CASUALTY INSURANCE COMPANY
 08/19/2025 PCF44
AIG PROPERTY CASUALTY COMPANY
 10/10/2024 PCF393
ALL SAVERS INSURANCE COMPANY
 03/11/2025 LHF233900
ALLMERICA FINANCIAL ALLIANCE INSURANCE COMPANY
 10/29/2024 PCF75617
ALLMERICA FINANCIAL BENEFIT INSURANCE COMPANY
 10/29/2024 PCF145893
AMERICAN FAMILY HOME INSURANCE
 07/23/2024 PCF201383
AMERICAN MODERN PROPERTY & CASUALTY INSURANCE COMPANY
 01/25/2024 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
BANKERS STANDARD INSURANCE COMPANY
 08/19/2025 PCF152165
CHUBB INDEMNITY INSURANCE COMPANY
 08/19/2025 PCF591
CHUBB NATIONAL INSURANCE COMPANY
 08/19/2025 PCF80404
CITIZENS INSURANCE COMPANY OF AMERICA
 10/29/2024 PCF937
EMPIRE HEALTHCHOICE HMO, INC.
 01/01/2025 HMF285382 07/01/2025
EVEREST DENALI INSURANCE COMPANY
 04/04/2025 PCF289213
EVEREST REINSURANCE COMPANY
 04/04/2025 PCF757
EXECUTIVE RISK INDEMNITY INC.
 08/19/2025 PCF42522
FEDERAL INSURANCE COMPANY
 08/19/2025 PCF439
GREAT NORTHERN INSURANCE COMPANY
 08/19/2025 PCF455
THE HANOVER AMERICAN INSURANCE COMPANY
 10/29/2024 PCF197298
THE HANOVER INSURANCE COMPANY
 10/29/2024 PCF712
INDEMNITY INSURANCE COMPANY OF NORTH AMERICA
 08/19/2025 PCF50104
MASSACHUSETTS BAY INSURANCE COMPANY
 10/29/2024 PCF505
PACIFIC EMPLOYERS INSURANCE COMPANY
 08/19/2025 PCF546
PACIFIC INDEMNITY COMPANY
 08/19/2025 PCF547
PROGRESSIVE NORTHERN INSURANCE COMPANY
 11/15/2024 PCF51006
SECURITY NATIONAL INSURANCE COMPANY
 12/29/2023 PCF189490
SELECTIVE INSURANCE COMPANY OF NEW YORK
 11/14/2024 PCF437
SEQUOIA INSURANCE COMPANY
 12/29/2023 PCF128467
TECHNOLOGY INSURANCE COMPANY INC
 12/29/2023 PCF136874
UNITED OF OMAHA LIFE INSURANCE COMPANY
 07/14/2025 LHF28
UNITEDHEALTHCARE INSURANCE COMPANY
 03/11/2025 LHF700
UNITEDHEALTHCARE OF NEW ENGLAND, INC.
 03/11/2025 HMF393375
VERLAN FIRE INSURANCE COMPANY
 10/29/2024 PCF161934
VIGILANT INSURANCE COMPANY
 08/19/2025 PCF613
WATFORD INSURANCE COMPANY
 02/05/2025 PCF92579 03/04/2025
WESCO INSURANCE COMPANY
 12/29/2023 PCF49735
WESTCHESTER FIRE INSURANCE COMPANY
 08/19/2025 PCF177973

Affiliated Agent
Name Issue Date License Number Expiration Date Cancel Date
KAREN M. AMENT
 02/18/2025 PRN232368
AURELIA BALZA
 06/17/2025 PRN298837
THOMAS JEFFREY BERGUM
 07/02/2025 PRN451269
SHANNON MARIE BRENNEKE
 06/27/2025 PRN496528
NICOLE M. CUTRARO
 02/18/2025 PRN468949
ANN FIELD
 09/10/2025 PRN407608
COURTNEY LYNNE KOLENDA
 04/29/2023 PRN323398
CASSANDRA J. LAEMMLI
 06/26/2025 PRN518214
SCOTT LEPLEY
 05/08/2025 PRN414710
ALEC MOORE
 06/17/2025 PRN284810
VINCENZ NATALIZIO
 02/18/2025 PRN479037
BROOKE TAYLOR OSSELBORN
 02/18/2025 PRN358461
ANTHONY D. PARATO
 07/07/2025 PRN470343
RANDALL LYNN PHELPS
 02/18/2025 PRN20916
ANTHONY S. PULGINE
 02/14/2025 PRN174926
CHRISTOPHER ROUNDS
 06/26/2025 PRN345987
JEFFREY A. SCHULTZ
 02/18/2025 PRN131958
MICHAEL T. SHEWCHUCK
 02/18/2025 PRN148150
NICHOLAS STARR
 02/18/2025 PRN449301
KEITH M. VERISARIO
 06/17/2025 PRN267731

Branch Office

None.

Supervised Entity

None.

Responsible Individual
Name License Number
COURTNEY LYNNE KOLENDA PRN323398

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20687166

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: 10/24/2025 10:44:27 AM