DEPARTMENT OF INSURANCE

Affiliations

Name	Rose, Kristen A	DOIID	333758	NAIC NPN	774720

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	General Lines	6/2/1999	8/15/2000
Pending Replacement	Non Resident	Agent	Casualty	2/15/2021		1/31/2026
Pending Replacement	Non Resident	Agent	Property	2/15/2021		1/31/2026
* 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	11/15/2025	01/31/2026

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	3/10/2021	2/24/2025
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/10/2021	2/24/2025
Pending Replacement	Homesite Insurance Company	301139	Agent - Casualty	6/10/2021
Pending Replacement	Homesite Insurance Company	301139	Agent - Property	6/10/2021
Pending Replacement	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	6/10/2021
Pending Replacement	Homesite Insurance Company of the Midwest	874850	Agent - Property	6/10/2021
Inactive	Progressive Direct Insurance Company	301379	Agent - Casualty	2/18/2021	9/16/2024
Inactive	Progressive Direct Insurance Company	301379	Agent - General Lines	6/2/1999	8/15/2000
Inactive	Progressive Direct Insurance Company	301379	Agent - Property	2/18/2021	9/16/2024
Inactive	Progressive Max Insurance Company	301034	Agent - Casualty	8/15/2000	2/1/2002
Inactive	Progressive Max Insurance Company	301034	Agent - General Lines	3/6/2000	8/15/2000
Inactive	Progressive Max Insurance Company	301034	Agent - Property	8/15/2000	2/1/2002
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	8/15/2000	2/1/2002
Inactive	Progressive Northern Insurance Company	301378	Agent - General Lines	3/6/2000	8/15/2000
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	8/15/2000	2/1/2002
Inactive	Progressive Specialty Insurance Company	300797	Agent - Casualty	8/15/2000	2/1/2002
Inactive	Progressive Specialty Insurance Company	300797	Agent - General Lines	3/6/2000	8/15/2000
Inactive	Progressive Specialty Insurance Company	300797	Agent - Property	8/15/2000	2/1/2002
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	2/24/2021	10/5/2022
Inactive	QBE Insurance Corporation	300515	Agent - Property	2/24/2021	10/5/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Progressive Advantage Agency , Inc.	518222	Agent - Property	2/24/2021
Pending Replacement	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	2/24/2021