DEPARTMENT OF INSURANCE
Affiliations
NameFields, Breonna DOIID1107800NAIC NPN19692484
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentCasualty11/6/2025 12/31/2026
ActiveNon ResidentAgentProperty11/6/2025 12/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBristol West Insurance Company301655Agent - Casualty5/13/20213/22/2023
InactiveBristol West Insurance Company301655Agent - Property5/13/20213/22/2023
InactiveDairyland Insurance Company301370Agent - Casualty6/10/20213/20/2023
InactiveDairyland Insurance Company301370Agent - Property6/10/20213/20/2023
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty11/24/2025 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property11/24/2025 
InactiveProgressive Casualty Insurance Company300696Agent - Casualty2/1/20215/1/2023
InactiveProgressive Casualty Insurance Company300696Agent - Property2/1/20215/1/2023
ActiveRoot Insurance Company964834Agent - Casualty11/21/2025 
ActiveRoot Insurance Company964834Agent - Property11/21/2025 
InactiveUnited Financial Casualty Company301886Agent - Casualty2/1/20215/1/2023
InactiveUnited Financial Casualty Company301886Agent - Property2/1/20215/1/2023
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveElite Insurance Group, Inc1068895Agent - Casualty11/21/2025 
ActiveElite Insurance Group, Inc1068895Agent - Property11/21/2025 
InactiveInsurancezebra Inc794167Agent - Casualty2/1/20213/17/2023
InactiveInsurancezebra Inc794167Agent - Property2/1/20213/17/2023

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