DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Benito-Revollo, Fabian M	DOIID	1295423	NAIC NPN	20510026

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	8/30/2023		5/31/2026
Active	Non Resident	Agent	Property	8/30/2023		5/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	03/15/2026	05/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	10/6/2023	8/28/2024
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	10/6/2023	8/28/2024
Inactive	Homesite Insurance Company	301139	Agent - Casualty	4/4/2024	10/8/2024
Inactive	Homesite Insurance Company	301139	Agent - Property	4/4/2024	10/8/2024
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	4/4/2024	10/8/2024
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Property	4/4/2024	10/8/2024
Active	Nationwide General Insurance Company	300603	Agent - Casualty	1/7/2024
Active	Nationwide General Insurance Company	300603	Agent - Property	1/7/2024
Inactive	Progressive Direct Insurance Company	301379	Agent - Casualty	8/31/2023	8/12/2024
Inactive	Progressive Direct Insurance Company	301379	Agent - Property	8/31/2023	8/12/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	9/1/2023
Active	Progressive Advantage Agency , Inc.	518222	Agent - Property	9/1/2023