DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	D Ambrosia, Bennett Grey	DOIID	1140912	NAIC NPN	19627435

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	6/22/2021	1/31/2024
Inactive	Non Resident	Agent	Casualty	6/22/2021	1/31/2024
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/7/2021	11/2/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/7/2021	11/2/2022
Inactive	Liberty Mutual Personal Insurance Company	959584	Agent - Casualty	3/31/2023	12/22/2023
Inactive	Liberty Mutual Personal Insurance Company	959584	Agent - Property	3/31/2023	12/22/2023
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	3/31/2023	12/22/2023
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	3/31/2023	12/22/2023
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	8/31/2021	1/9/2023
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	8/31/2021	1/9/2023
Inactive	United Financial Casualty Company	301886	Agent - Casualty	8/31/2021	1/9/2023
Inactive	United Financial Casualty Company	301886	Agent - Property	8/31/2021	1/9/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Heydriver Insurance Agency LLC	1108746	Agent - Casualty	6/12/2022	11/2/2022
Inactive	Heydriver Insurance Agency LLC	1108746	Agent - Property	6/12/2022	11/2/2022
Inactive	Paul Moss Insurance Agency LLC	833857	Agent - Casualty	1/3/2022	11/2/2022
Inactive	Paul Moss Insurance Agency LLC	833857	Agent - Property	1/3/2022	11/2/2022