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:
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
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
CITIZENS INSURANCE COMPANY OF AMERICA
10/29/2024 PCF937
EMPIRE HEALTHCHOICE HMO, INC.
01/01/2025 HMF285382
EVEREST DENALI INSURANCE COMPANY
04/04/2025 PCF289213
EVEREST REINSURANCE COMPANY
04/04/2025 PCF757
THE HANOVER AMERICAN INSURANCE COMPANY
10/29/2024 PCF197298
THE HANOVER INSURANCE COMPANY
10/29/2024 PCF712
MASSACHUSETTS BAY INSURANCE COMPANY
10/29/2024 PCF505
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
UNITEDHEALTHCARE INSURANCE COMPANY
03/11/2025 LHF700
UNITEDHEALTHCARE OF NEW ENGLAND, INC.
03/11/2025 HMF393375
VERLAN FIRE INSURANCE COMPANY
10/29/2024 PCF161934
WATFORD INSURANCE COMPANY
02/05/2025 PCF92579 03/04/2025
WESCO INSURANCE COMPANY
12/29/2023 PCF49735

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
KAREN M. AMENT
02/18/2025 PRN232368
NICOLE M. CUTRARO
02/18/2025 PRN468949
COURTNEY LYNNE KOLENDA
04/29/2023 PRN323398
SCOTT LEPLEY
05/08/2025 PRN414710
JAMES R. NATALIZIO
03/28/2025 PRN270268
VINCENZ NATALIZIO
02/18/2025 PRN479037
BROOKE TAYLOR OSSELBORN
02/18/2025 PRN358461
RANDALL LYNN PHELPS
02/18/2025 PRN20916
ANTHONY S. PULGINE
02/14/2025 PRN174926
JEFFREY A. SCHULTZ
02/18/2025 PRN131958
MICHAEL T. SHEWCHUCK
02/18/2025 PRN148150
NICHOLAS STARR
02/18/2025 PRN449301

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: 05/14/2025 01:24:09 AM