DEPARTMENT OF INSURANCE

Affiliations

Name	Costello, Adam Robert	DOIID	796153	NAIC NPN	16804441

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	10/29/2012	10/31/2018
Inactive	Non Resident	Agent	Casualty	10/29/2012	10/31/2018
Inactive	Non Resident	Agent	Health	10/29/2012	10/31/2018
* 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	AMEX Assurance Company	301728	Agent - Casualty	11/7/2012	9/3/2013
Inactive	AMEX Assurance Company	301728	Agent - Health	11/7/2012	9/3/2013
Inactive	AMEX Assurance Company	301728	Agent - Property	11/7/2012	9/3/2013
Inactive	American Family Connect Property and Casualty Insurance Company	622403	Agent - Casualty	9/6/2013	6/26/2018
Inactive	American Family Connect Property and Casualty Insurance Company	622403	Agent - Health	9/6/2013	9/23/2015
Inactive	American Family Connect Property and Casualty Insurance Company	622403	Agent - Property	9/6/2013	6/26/2018
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	9/16/2013	12/3/2018
Inactive	American Modern Home Insurance Company	300791	Agent - Property	9/16/2013	12/3/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	9/16/2013	12/3/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Property	9/16/2013	12/3/2018
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	9/16/2013	12/3/2018
Inactive	American Southern Home Insurance Company	626276	Agent - Property	9/16/2013	12/3/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/23/2013	10/31/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/23/2013	10/31/2018
Inactive	Homesite Insurance Company	301139	Agent - Casualty	10/23/2017	10/31/2018
Inactive	Homesite Insurance Company	301139	Agent - Property	10/23/2017	10/31/2018
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	10/23/2017	10/31/2018
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Property	10/23/2017	10/31/2018
Inactive	RLI Insurance Company	301217	Agent - Casualty	9/10/2013	12/14/2018
Inactive	RLI Insurance Company	301217	Agent - Property	9/10/2013	12/14/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	APAC Customer Services Inc	505425	Agent - Health	11/8/2012	1/18/2013
Inactive	APAC Customer Services Inc	505425	Agent - Property	11/8/2012	1/18/2013
Inactive	APAC Customer Services Inc	505425	Agent - Casualty	11/8/2012	1/18/2013
Inactive	Alorica Customer Care, Inc.	800938	Agent - Health	1/29/2013	9/3/2013
Inactive	Alorica Customer Care, Inc.	800938	Agent - Property	1/29/2013	9/3/2013
Inactive	Alorica Customer Care, Inc.	800938	Agent - Casualty	1/29/2013	9/3/2013
Inactive	American Family Connect Insurance Agency, Inc.	619157	Agent - Property	9/6/2013	10/31/2018
Inactive	American Family Connect Insurance Agency, Inc.	619157	Agent - Casualty	9/6/2013	10/31/2018