DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Severn, Dianne Lynn	DOIID	684282	NAIC NPN	11040070

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/21/2013	12/8/2023
Inactive	Non Resident	Agent	Casualty	2/11/2015	12/8/2023
Inactive	Non Resident	Agent	Property	2/11/2015	12/8/2023
Inactive	Non Resident	Agent	Life	8/23/2016	12/8/2023
* 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	American Family Life Insurance Company	844831	Agent - Life	11/30/2016	7/21/2022
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	1/13/2016	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	1/13/2016	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	1/13/2016	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	1/13/2016	11/14/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/21/2017	12/8/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/21/2017	12/8/2023
Inactive	Homesite Insurance Company	301139	Agent - Casualty	2/13/2015	9/13/2023
Inactive	Homesite Insurance Company	301139	Agent - Property	2/13/2015	9/13/2023
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	7/14/2017	9/13/2023
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Property	7/14/2017	9/13/2023
Inactive	Progressive Direct Insurance Company	301379	Agent - Casualty	7/17/2008	4/21/2009
Inactive	Progressive Direct Insurance Company	301379	Agent - Property	7/17/2008	4/21/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/23/2014	1/9/2015
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/23/2014	1/9/2015

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	7/17/2008	4/21/2009
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	7/17/2008	4/21/2009