DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Kotik, Lawrence Daniel	DOIID	576527	NAIC NPN	7339470

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	9/18/2003	12/5/2019
Inactive	Non Resident	Agent	Property	9/18/2003	12/5/2019
* 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	1/15/2019	9/12/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/15/2019	9/12/2019
Inactive	Homesite Insurance Company	301139	Agent - Casualty	12/20/2018	12/5/2019
Inactive	Homesite Insurance Company	301139	Agent - Property	12/20/2018	12/5/2019
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	3/22/2004	8/12/2019
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	3/22/2004	8/12/2019
Inactive	Progressive Direct Insurance Company	301379	Agent - Casualty	10/30/2012	8/12/2019
Inactive	Progressive Direct Insurance Company	301379	Agent - Property	10/30/2012	8/12/2019
Inactive	Progressive Max Insurance Company	301034	Agent - Casualty	10/13/2003	11/14/2007
Inactive	Progressive Max Insurance Company	301034	Agent - Property	10/13/2003	11/14/2007
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	10/13/2003	12/11/2009
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	10/13/2003	12/11/2009
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Casualty	10/13/2003	11/14/2007
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Property	10/13/2003	11/14/2007
Inactive	Progressive Specialty Insurance Company	300797	Agent - Casualty	10/13/2003	11/14/2007
Inactive	Progressive Specialty Insurance Company	300797	Agent - Property	10/13/2003	11/14/2007
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	12/11/2018	9/3/2019
Inactive	QBE Insurance Corporation	300515	Agent - Property	12/11/2018	9/3/2019

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 - Casualty	7/31/2007	12/5/2019
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Property	7/31/2007	12/5/2019