DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Green, Kiersten	DOIID	940301	NAIC NPN	18233509

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	12/21/2016	4/30/2019
Inactive	Non Resident	Agent	Property	12/21/2016	4/30/2019
* 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	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	2/3/2017	12/14/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	2/3/2017	12/14/2017
Inactive	Homesite Insurance Company	301139	Agent - Casualty	1/21/2017	4/30/2019
Inactive	Homesite Insurance Company	301139	Agent - Property	1/21/2017	4/30/2019
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	7/12/2017	4/30/2019
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Property	7/12/2017	4/30/2019
Inactive	Progressive Direct Insurance Company	301379	Agent - Casualty	12/22/2016	12/4/2017
Inactive	Progressive Direct Insurance Company	301379	Agent - Property	12/22/2016	12/4/2017
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	1/18/2017	12/7/2017
Inactive	QBE Insurance Corporation	300515	Agent - Property	1/18/2017	12/7/2017

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	12/22/2016	4/30/2019
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	12/22/2016	4/30/2019