DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Debardelaben, Danielle	DOIID	927698	NAIC NPN	18057249

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	11/13/2019		4/30/2027
Active	Non Resident	Agent	Property	11/13/2019		4/30/2027
* 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
Agent	02/15/2025	04/30/2025	03/20/2025	03/20/2025	Yes

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	2/20/2017	10/5/2017
Inactive	American Modern Select Insurance Company	581481	Agent - Property	2/20/2017	10/5/2017
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	10/4/2017	5/29/2018
Inactive	American Southern Home Insurance Company	626276	Agent - Property	10/4/2017	5/29/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	12/14/2016	10/5/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	12/14/2016	10/5/2017
Inactive	Homesite Insurance Company	301139	Agent - Casualty	9/30/2016	10/5/2017
Inactive	Homesite Insurance Company	301139	Agent - Property	9/30/2016	10/5/2017
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	7/12/2017	10/5/2017
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Property	7/12/2017	10/5/2017
Active	Permanent General Assurance Corporation of Ohio	709250	Agent - Casualty	11/18/2019
Inactive	Progressive Direct Insurance Company	301379	Agent - Casualty	9/13/2016	10/2/2017
Inactive	Progressive Direct Insurance Company	301379	Agent - Property	9/13/2016	10/2/2017
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	10/5/2016	10/4/2017
Inactive	QBE Insurance Corporation	300515	Agent - Property	10/5/2016	10/4/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	General Automobile Ins Services Of Ohio Inc The	719262	Agent - Casualty	11/18/2019
Inactive	Paul Moss Insurance Agency LLC	833857	Agent - Property	5/18/2018	5/29/2018
Inactive	Paul Moss Insurance Agency LLC	833857	Agent - Casualty	5/18/2018	5/29/2018
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Property	9/13/2016	5/29/2018
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	9/13/2016	5/29/2018