DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Fournier, Justin Michael	DOIID	855823	NAIC NPN	17038571

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	10/10/2014	8/31/2018
Inactive	Non Resident	Agent	Property	10/10/2014	8/31/2018
Active	Non Resident	Staff Adjuster	Property & Casualty	2/16/2024		8/31/2026
* 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
Staff Adjuster	06/15/2026	08/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Progressive Direct Insurance Company	301379	Agent - Casualty	10/15/2014	8/29/2016
Inactive	Progressive Direct Insurance Company	301379	Agent - Property	10/15/2014	8/29/2016

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 - Property	10/15/2014	8/29/2016
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	10/15/2014	8/29/2016