DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Cozzens, Mark	DOIID	1028297	NAIC NPN	19038783

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	2/13/2019		8/31/2027
Active	Non Resident	Agent	Casualty	2/13/2019		8/31/2027
* 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	06/15/2025	08/31/2025	06/24/2025	06/24/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/10/2019
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/10/2019
Active	Homesite Insurance Company	301139	Agent - Casualty	4/2/2019
Active	Homesite Insurance Company	301139	Agent - Property	4/2/2019
Active	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	4/2/2019
Active	Homesite Insurance Company of the Midwest	874850	Agent - Property	4/2/2019
Inactive	Nationwide General Insurance Company	300603	Agent - Casualty	12/18/2019	8/25/2023
Inactive	Nationwide General Insurance Company	300603	Agent - Property	12/18/2019	8/25/2023
Inactive	Nationwide Insurance Company of America	300333	Agent - Casualty	11/18/2019	8/25/2023
Inactive	Nationwide Insurance Company of America	300333	Agent - Property	11/18/2019	8/25/2023
Active	Progressive Direct Insurance Company	301379	Agent - Casualty	2/14/2019
Active	Progressive Direct Insurance Company	301379	Agent - Property	2/14/2019
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	3/1/2019	11/2/2022
Inactive	QBE Insurance Corporation	300515	Agent - Property	3/1/2019	11/2/2022
Active	RLI Insurance Company	301217	Agent - Casualty	5/19/2020
Active	RLI Insurance Company	301217	Agent - Property	5/19/2020

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	2/15/2019
Active	Progressive Advantage Agency , Inc.	518222	Agent - Property	2/15/2019