DEPARTMENT OF INSURANCE

Affiliations

Name	Debose, Antonette	DOIID	904264	NAIC NPN	17816860

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	5/10/2024	9/30/2026
Active	Non Resident	Agent	Property	5/10/2024	9/30/2026
Active	Non Resident	Staff Adjuster	Property & Casualty	10/4/2023	9/30/2026
* 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
Active	Allstate Indemnity Company	300778	Agent - Casualty	5/17/2024
Active	Allstate Indemnity Company	300778	Agent - Property	5/17/2024
Active	Allstate Insurance Company	300773	Agent - Casualty	5/17/2024
Active	Allstate Insurance Company	300773	Agent - Property	5/17/2024
Active	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	5/17/2024
Active	Allstate Property and Casualty Insurance Company	300593	Agent - Property	5/17/2024
Active	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	5/17/2024
Active	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	5/17/2024
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	6/21/2020	12/20/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Property	6/21/2020	12/20/2021
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	10/23/2019	11/25/2019
Inactive	Bristol West Insurance Company	301655	Agent - Property	10/23/2019	11/25/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	1/6/2020	12/6/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/6/2020	12/6/2021
Inactive	Homesite Insurance Company	301139	Agent - Casualty	10/12/2018	12/6/2021
Inactive	Homesite Insurance Company	301139	Agent - Property	10/12/2018	12/6/2021
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	10/12/2018	12/6/2021
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Property	10/12/2018	12/6/2021
Inactive	Midvale Indemnity Company	300292	Agent - Casualty	12/9/2020	12/6/2021
Inactive	Midvale Indemnity Company	300292	Agent - Property	12/9/2020	12/6/2021
Inactive	Progressive Direct Insurance Company	301379	Agent - Casualty	1/26/2016	2/12/2018
Inactive	Progressive Direct Insurance Company	301379	Agent - Property	1/26/2016	2/12/2018

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	1/27/2016	2/23/2018
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	1/27/2016	2/23/2018