Agency Information

Acrisure Digital Solutions, LLC

Address:

100 OTTAWA AVENUE SW

GRAND RAPIDS, MI 49503

Phone

800-748-0351

URL:

Email:

insurancelicensing@acrisure.com

National Producer Number:

20561239

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	3861391	12/16/2022	Active	12/16/2022	12/31/2025
Non-Res. Surplus Lines Broker	3865046	01/05/2023	Active	01/05/2023	01/31/2026

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	12/16/2022	Active	12/16/2022
Health	12/16/2022	Active	12/16/2022
Life	12/16/2022	Active	12/16/2022
Property	12/16/2022	Active	12/16/2022
Surplus Lines	01/05/2023	Active	01/05/2023

Company Name	Appointment Type	Status	Active Date
16977
ANTHEM INSURANCE COMPANIES INC	Health	Active	01/28/2024
1099
Company Name	Appointment Type	Status	Active Date
ANTHEM LIFE INSURANCE COMPANY	Health	Active	01/28/2024
	Life	Active	01/28/2024
1538
Company Name	Appointment Type	Status	Active Date
HMO COLORADO INC D/B/A HMO NEVADA	Health	Active	01/28/2024
1620
Company Name	Appointment Type	Status	Active Date
ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICE INC	Health	Active	01/28/2024

row(s) 1 - 5 of 5

Name	Association Type	Agent	Begin Date	End Date
COURTNEY LYNNE KOLENDA	Designated Resp Lic Prdcr	Yes	12/16/2022	-

1 - 1