DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Costa, Domenic	DOIID	337244	NAIC NPN	1780533

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	10/30/2020	10/31/2022
Inactive	Non Resident	Agent	Property	10/30/2020	10/31/2022
Inactive	Non Resident	Agent	General Lines	2/19/1999	12/27/1999
* 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	3/10/2021	8/26/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/10/2021	8/26/2021
Inactive	Homesite Insurance Company	301139	Agent - Casualty	3/27/2021	10/31/2022
Inactive	Homesite Insurance Company	301139	Agent - Property	3/27/2021	10/31/2022
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	3/27/2021	10/31/2022
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Property	3/27/2021	10/31/2022
Inactive	Progressive Direct Insurance Company	301379	Agent - Casualty	11/5/2020	8/16/2021
Inactive	Progressive Direct Insurance Company	301379	Agent - General Lines	3/25/1999	7/29/1999
Inactive	Progressive Direct Insurance Company	301379	Agent - Property	11/5/2020	8/16/2021
Inactive	Progressive Max Insurance Company	301034	Agent - General Lines	2/19/1999	7/29/1999
Inactive	Progressive Specialty Insurance Company	300797	Agent - General Lines	3/16/1999	12/27/1999
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	12/2/2020	11/17/2021
Inactive	QBE Insurance Corporation	300515	Agent - Property	12/2/2020	11/17/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Property	11/11/2020	10/31/2022
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	11/11/2020	10/31/2022