DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bourgeois, Katelyn Carson	DOIID	993808	NAIC NPN	18685261

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Casualty	3/15/2023		12/31/2024
Pending Replacement	Non Resident	Agent	Property	3/15/2023		12/31/2024
Inactive	Non Resident	Staff Adjuster	Property & Casualty	5/9/2018	12/31/2020
* 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
Pending Replacement	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/17/2023
Pending Replacement	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/17/2023
Pending Replacement	Homesite Insurance Company	301139	Agent - Casualty	7/28/2023
Pending Replacement	Homesite Insurance Company	301139	Agent - Property	7/28/2023
Pending Replacement	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	7/28/2023
Pending Replacement	Homesite Insurance Company of the Midwest	874850	Agent - Property	7/28/2023
Inactive	Progressive Direct Insurance Company	301379	Agent - Casualty	3/16/2023	6/3/2024
Inactive	Progressive Direct Insurance Company	301379	Agent - Property	3/16/2023	6/3/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	3/20/2023
Pending Replacement	Progressive Advantage Agency , Inc.	518222	Agent - Property	3/20/2023