DEPARTMENT OF INSURANCE

Affiliations

Name	Decosta, Tracy Rose	DOIID	674506	NAIC NPN	8693821

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	2/19/2008	9/30/2026
Active	Non Resident	Agent	Property	2/19/2008	9/30/2026
Active	Non Resident	Agent	Life	2/13/2020	9/30/2026
* 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	07/15/2024	09/30/2024	09/30/2024	09/30/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019	5/27/2022
Inactive	American Economy Insurance Company	300315	Agent - Property	11/9/2019	5/27/2022
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	4/4/2013	10/15/2021
Inactive	American Fire and Casualty Company	300567	Agent - Property	4/4/2013	10/15/2021
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	3/17/2022	9/23/2022
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Property	3/17/2022	9/23/2022
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	3/22/2013	8/4/2022
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	3/22/2013	8/4/2022
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Life	3/24/2020	8/4/2022
Active	Bristol West Insurance Company	301655	Agent - Casualty	5/25/2022
Active	Bristol West Insurance Company	301655	Agent - Property	5/25/2022
Inactive	Cincinnati Insurance Company	301298	Agent - Casualty	4/13/2013	10/10/2022
Inactive	Cincinnati Insurance Company	301298	Agent - Property	4/13/2013	10/10/2022
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	10/14/2020	11/2/2022
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	4/4/2013	8/5/2022
Inactive	Consolidated Insurance Company	300943	Agent - Property	4/4/2013	8/5/2022
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	5/25/2022
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	5/25/2022
Inactive	Indiana Insurance Company	301909	Agent - Casualty	4/4/2013	8/5/2022
Inactive	Indiana Insurance Company	301909	Agent - Property	4/4/2013	8/5/2022
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	4/4/2013	8/5/2022
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	4/4/2013	8/5/2022
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	4/4/2013	8/5/2022
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	4/4/2013	8/5/2022
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	4/4/2013	8/5/2022
Inactive	Ohio Security Insurance Company	300622	Agent - Property	4/4/2013	8/5/2022
Inactive	Owners Insurance Company	300796	Agent - Casualty	3/22/2013	8/4/2022
Inactive	Owners Insurance Company	300796	Agent - Property	3/22/2013	8/4/2022
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	4/4/2013	8/5/2022
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	4/4/2013	8/5/2022
Inactive	Peerless Insurance Company	301910	Agent - Casualty	4/4/2013	8/5/2022
Inactive	Peerless Insurance Company	301910	Agent - Property	4/4/2013	8/5/2022
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	4/4/2013	8/5/2022
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	4/4/2013	8/5/2022
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	4/4/2013	5/27/2022
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	4/4/2013	5/27/2022
Inactive	West American Insurance Company	301112	Agent - Casualty	4/4/2013	8/5/2022
Inactive	West American Insurance Company	301112	Agent - Property	4/4/2013	8/5/2022
Inactive	Westfield Insurance Company	301950	Agent - Casualty	12/31/2018	9/29/2022
Inactive	Westfield Insurance Company	301950	Agent - Property	12/31/2018	9/29/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	German American Ins Inc	601752	Agent - Property	3/22/2013	11/4/2022
Inactive	German American Ins Inc	601752	Agent - Casualty	3/22/2013	11/4/2022
Inactive	Schultheis Ins Agency Inc	515277	Agent - Property	5/7/2009	3/4/2013
Inactive	Schultheis Ins Agency Inc	515277	Agent - Casualty	5/7/2009	3/4/2013