DEPARTMENT OF INSURANCE

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.

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