DEPARTMENT OF INSURANCE

Affiliations

Name	Mormino, Gina M	DOIID	352329	NAIC NPN	2211015

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	9/1/2016	10/31/2026
Active	Non Resident	Agent	Property	9/1/2016	10/31/2026
Denied	Non Resident	Agent	General Lines
* 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
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/28/2018
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/28/2018
Active	Homesite Insurance Company	301139	Agent - Casualty	9/25/2018
Active	Homesite Insurance Company	301139	Agent - Property	9/25/2018
Active	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	9/25/2018
Active	Homesite Insurance Company of the Midwest	874850	Agent - Property	9/25/2018
Inactive	Nationwide General Insurance Company	300603	Agent - Casualty	12/18/2019	8/25/2023
Inactive	Nationwide General Insurance Company	300603	Agent - Property	12/18/2019	8/25/2023
Inactive	Nationwide Insurance Company of America	300333	Agent - Casualty	11/18/2019	8/25/2023
Inactive	Nationwide Insurance Company of America	300333	Agent - Property	11/18/2019	8/25/2023
Active	Progressive Direct Insurance Company	301379	Agent - Casualty	9/13/2018
Inactive	Progressive Direct Insurance Company	301379	Agent - General Lines	5/6/1999	8/15/2000
Active	Progressive Direct Insurance Company	301379	Agent - Property	9/13/2018
Inactive	Progressive Max Insurance Company	301034	Agent - Casualty	7/26/2001	12/28/2005
Inactive	Progressive Max Insurance Company	301034	Agent - General Lines	12/27/1999	8/15/2000
Inactive	Progressive Max Insurance Company	301034	Agent - Property	7/26/2001	12/28/2005
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	7/26/2001	12/28/2005
Inactive	Progressive Northern Insurance Company	301378	Agent - General Lines	12/27/1999	8/15/2000
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	7/26/2001	12/28/2005
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Casualty	7/26/2001	12/28/2005
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Property	7/26/2001	12/28/2005
Inactive	Progressive Specialty Insurance Company	300797	Agent - General Lines	12/27/1999	8/15/2000
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	10/1/2018	10/11/2022
Inactive	QBE Insurance Corporation	300515	Agent - Property	10/1/2018	10/11/2022
Inactive	United Financial Casualty Company	301886	Agent - Casualty	9/8/2016	11/12/2018
Inactive	United Financial Casualty Company	301886	Agent - Property	9/8/2016	11/12/2018

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	9/8/2016
Active	Progressive Advantage Agency , Inc.	518222	Agent - Property	9/8/2016
Inactive	Progressive Alliances Insurance Agency, Inc.	644939	Agent - Casualty	10/11/2007	5/12/2008
Inactive	Progressive Alliances Insurance Agency, Inc.	644939	Agent - Property	10/11/2007	5/12/2008