DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Carlucci, Toni Marie	DOIID	750127	NAIC NPN	9051092

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	3/16/2011	3/31/2018
Inactive	Non Resident	Agent	Property	3/16/2011	3/31/2018
* 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 Modern Select Insurance Company	581481	Agent - Casualty	4/24/2015	3/31/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Property	4/24/2015	3/31/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/3/2015	10/24/2016
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/3/2015	10/24/2016
Inactive	Homesite Insurance Company	301139	Agent - Casualty	1/29/2013	8/23/2016
Inactive	Homesite Insurance Company	301139	Agent - Property	1/29/2013	8/23/2016
Inactive	Progressive Direct Insurance Company	301379	Agent - Casualty	3/22/2011	8/22/2016
Inactive	Progressive Direct Insurance Company	301379	Agent - Property	3/22/2011	8/22/2016
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	2/27/2015	8/22/2016
Inactive	QBE Insurance Corporation	300515	Agent - Property	2/27/2015	8/22/2016

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	4/6/2011	3/31/2018
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Property	4/6/2011	3/31/2018