DEPARTMENT OF INSURANCE

Affiliations

Name	Rose, David Michael	DOIID	567100	NAIC NPN	564258

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	3/31/2003	1/31/2027
Active	Non Resident	Agent	Casualty	3/31/2003	1/31/2027
* 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	11/15/2026	01/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AMCO Insurance Company	300204	Agent - Casualty	10/4/2021	5/15/2025
Inactive	AMCO Insurance Company	300204	Agent - Property	10/4/2021	5/15/2025
Inactive	Allied Insurance Company of America	793586	Agent - Casualty	10/4/2021	5/15/2025
Inactive	Allied Insurance Company of America	793586	Agent - Property	10/4/2021	5/15/2025
Inactive	Allied Property and Casualty Insurance Company	300279	Agent - Casualty	10/4/2021	5/15/2025
Inactive	Allied Property and Casualty Insurance Company	300279	Agent - Property	10/4/2021	5/15/2025
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	2/28/2024	5/13/2025
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Property	2/28/2024	5/13/2025
Inactive	American Strategic Insurance Corp	883540	Agent - Casualty	6/9/2020	6/15/2025
Inactive	American Strategic Insurance Corp	883540	Agent - Property	6/9/2020	6/15/2025
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	4/30/2019	5/12/2022
Inactive	Bristol West Insurance Company	301655	Agent - Property	4/30/2019	5/12/2022
Inactive	Depositors Insurance Company	301634	Agent - Casualty	10/4/2021	5/15/2025
Inactive	Depositors Insurance Company	301634	Agent - Property	10/4/2021	5/15/2025
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	3/31/2003	10/16/2016
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	3/31/2003	10/16/2016
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/10/2021	7/23/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/10/2021	7/23/2021
Inactive	Homesite Insurance Company	301139	Agent - Casualty	4/4/2019	7/7/2025
Inactive	Homesite Insurance Company	301139	Agent - Property	4/4/2019	7/7/2025
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	4/19/2019	7/7/2025
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Property	4/19/2019	7/7/2025
Inactive	LM General Insurance Company	300133	Agent - Casualty	3/19/2010	11/11/2022
Inactive	LM General Insurance Company	300133	Agent - Property	3/19/2010	11/11/2022
Inactive	LM Insurance Corporation	301061	Agent - Casualty	3/19/2010	11/11/2022
Inactive	LM Insurance Corporation	301061	Agent - Property	3/19/2010	11/11/2022
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	3/31/2003	11/11/2022
Inactive	Liberty Insurance Corporation	300444	Agent - Property	3/31/2003	11/11/2022
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	1/8/2024	5/1/2025
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	1/8/2024	5/1/2025
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	5/4/2017	10/16/2020
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	5/4/2017	10/16/2020
Inactive	Liberty Mutual Personal Insurance Company	959584	Agent - Casualty	11/19/2018	5/1/2025
Inactive	Liberty Mutual Personal Insurance Company	959584	Agent - Property	11/19/2018	5/1/2025
Inactive	Nationwide Assurance Company	300166	Agent - Casualty	10/4/2021	5/15/2025
Inactive	Nationwide Assurance Company	300166	Agent - Property	10/4/2021	5/15/2025
Inactive	Nationwide General Insurance Company	300603	Agent - Casualty	10/4/2021	5/15/2025
Inactive	Nationwide General Insurance Company	300603	Agent - Property	10/4/2021	5/15/2025
Inactive	Nationwide Insurance Company of America	300333	Agent - Casualty	10/4/2021	5/15/2025
Inactive	Nationwide Insurance Company of America	300333	Agent - Property	10/4/2021	5/15/2025
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	10/4/2021	5/15/2025
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	10/4/2021	5/15/2025
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	10/4/2021	5/15/2025
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	10/4/2021	5/15/2025
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	5/2/2018	11/11/2022
Inactive	Ohio Security Insurance Company	300622	Agent - Property	5/2/2018	11/11/2022
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	7/3/2023	5/1/2025
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	7/3/2023	5/1/2025
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	5/22/2019	6/15/2025
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	5/22/2019	6/15/2025
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	3/9/2021	5/1/2025
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	3/9/2021	5/1/2025
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	3/3/2021	5/1/2025
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	3/3/2021	5/1/2025
Active	Standard Fire Insurance Company (The)	301068	Agent - Casualty	10/2/2019
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	10/2/2019
Active	Travelers Personal Insurance Company	705785	Agent - Casualty	7/27/2020
Active	Travelers Personal Insurance Company	705785	Agent - Property	7/27/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Helmsman Insurance Agency Llc	572054	Agent - Casualty	8/29/2024
Active	Helmsman Insurance Agency Llc	572054	Agent - Property	8/29/2024