DEPARTMENT OF INSURANCE

Affiliations

Name	Mongeon, Jeffrey S	DOIID	991687	NAIC NPN	15643855

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	4/18/2018	12/31/2024
Active	Non Resident	Agent	Property	4/18/2018	12/31/2024
* 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	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	10/28/2021
Active	ACUITY, A Mutual Insurance Company	300095	Agent - Property	10/28/2021
Active	Allstate Indemnity Company	300778	Agent - Casualty	6/2/2020
Active	Allstate Indemnity Company	300778	Agent - Property	6/2/2020
Active	Allstate Insurance Company	300773	Agent - Casualty	6/2/2020
Active	Allstate Insurance Company	300773	Agent - Property	6/2/2020
Active	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	6/2/2020
Active	Allstate Property and Casualty Insurance Company	300593	Agent - Property	6/2/2020
Active	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	6/2/2020
Active	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	6/2/2020
Active	American Economy Insurance Company	300315	Agent - Casualty	11/14/2019
Active	American Economy Insurance Company	300315	Agent - Property	11/14/2019
Active	Bristol West Insurance Company	301655	Agent - Casualty	1/16/2019
Active	Bristol West Insurance Company	301655	Agent - Property	1/16/2019
Active	Dairyland Insurance Company	301370	Agent - Casualty	11/22/2019
Active	Dairyland Insurance Company	301370	Agent - Property	11/22/2019
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	10/7/2021	8/7/2023
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	10/7/2021	8/7/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	1/16/2019
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/16/2019
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	6/3/2020
Active	Grange Indemnity Insurance Company	300793	Agent - Property	6/3/2020
Active	Grange Insurance Company	300234	Agent - Casualty	6/3/2020
Active	Grange Insurance Company	300234	Agent - Property	6/3/2020
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	6/3/2020
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	6/3/2020
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	12/21/2018
Active	SAFECO Insurance Company of America	300159	Agent - Property	12/21/2018
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	12/21/2018
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	12/21/2018
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	11/9/2018	12/16/2021
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	11/9/2018	12/16/2021
Active	Trustgard Insurance Company	300104	Agent - Casualty	6/3/2020
Active	Trustgard Insurance Company	300104	Agent - Property	6/3/2020
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Casualty	7/1/2020	3/23/2023
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Property	7/1/2020	3/23/2023
Inactive	Unitrin Safeguard Insurance Company	301371	Agent - Casualty	7/1/2020	3/23/2023
Inactive	Unitrin Safeguard Insurance Company	301371	Agent - Property	7/1/2020	3/23/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Polly Insurance Agency, LLC	992125	Agent - Property	4/23/2018
Active	Polly Insurance Agency, LLC	992125	Agent - Casualty	4/23/2018