DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Roth, Adrienne H	DOIID	969572	NAIC NPN	10165585

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	3/22/2024		8/31/2025
Active	Non Resident	Agent	Casualty	3/22/2024		8/31/2025
Inactive	Non Resident	Agent	Health	9/27/2017	8/31/2019
Inactive	Non Resident	Agent	Life	9/27/2017	8/31/2019
* 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	06/15/2025	08/31/2025

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	7/14/2021	6/20/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/14/2021	6/20/2023
Inactive	Homesite Insurance Company	301139	Agent - Casualty	4/19/2023	6/20/2023
Inactive	Homesite Insurance Company	301139	Agent - Property	4/19/2023	6/20/2023
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	4/19/2023	6/20/2023
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Property	4/19/2023	6/20/2023
Active	Progressive Direct Insurance Company	301379	Agent - Casualty	3/28/2024
Active	Progressive Direct Insurance Company	301379	Agent - Property	3/28/2024
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	7/16/2021	11/16/2022
Inactive	QBE Insurance Corporation	300515	Agent - Property	7/16/2021	11/16/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	4/1/2024
Active	Progressive Advantage Agency , Inc.	518222	Agent - Property	4/1/2024