DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kmiecik, Timothy	DOIID	859956	NAIC NPN	16589645

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	11/28/2017	3/31/2019
Inactive	Non Resident	Agent	Casualty	11/28/2017	3/31/2019
Inactive	Non Resident	Staff Adjuster	Property & Casualty	11/6/2014	12/5/2016
* 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	Homesite Insurance Company	301139	Agent - Casualty	11/13/2016	3/31/2017
Inactive	Homesite Insurance Company	301139	Agent - Property	11/13/2016	3/31/2017
Inactive	Progressive Direct Insurance Company	301379	Agent - Casualty	12/11/2017	1/7/2019
Inactive	Progressive Direct Insurance Company	301379	Agent - Property	12/11/2017	1/7/2019

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 - Property	12/22/2017	1/7/2019
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	12/22/2017	1/7/2019