black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

LIDAC EMPLOYEE BENEFIT SOLUTIONS LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN297521
Status:
First Licensure:
11/04/2017
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 11/04/2017 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
GUARDIAN LIFE INSURANCE COMPANY OF AMERICA
03/14/2018 LHF644 05/15/2023
HARTFORD LIFE & ACCIDENT INSURANCE COMPANY
09/03/2019 LHF193
METROPOLITAN LIFE INSURANCE COMPANY
05/22/2018 LHF380

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
DOMINICK A. CAPOLARELLO
06/19/2018 PRN278596
COURTNEY LYNNE KOLENDA
08/27/2019 PRN323398

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):
18591641

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: 10/07/2025 01:14:18 AM