DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Villalobos, Mayra O	DOIID	1017609	NAIC NPN	18307984

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	11/1/2018	4/30/2022
Inactive	Non Resident	Agent	Casualty	11/1/2018	4/30/2022
* 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	Dairyland Insurance Company	301370	Agent - Casualty	7/13/2021	4/30/2022
Inactive	Dairyland Insurance Company	301370	Agent - Property	7/13/2021	4/30/2022
Inactive	Safe Auto Insurance Company	300419	Agent - Casualty	11/2/2018	10/1/2021
Inactive	Safe Auto Insurance Company	300419	Agent - Property	11/2/2018	10/1/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Safe Auto Group Agency Inc	557065	Agent - Property	11/15/2018	10/1/2021
Inactive	Safe Auto Group Agency Inc	557065	Agent - Casualty	11/15/2018	10/1/2021