DEPARTMENT OF INSURANCE

Affiliations

Name	Mountain America Insurance Services LLC	DOIID	1022722	NAIC NPN	7725278

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	12/17/2018	3/31/2026
Active	Non Resident	Agent	Life	12/17/2018	3/31/2026
Active	Non Resident	Agent	Casualty	12/17/2018	3/31/2026
* 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	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AMCO Insurance Company	300204	Agent - Casualty	8/10/2022
Active	AMCO Insurance Company	300204	Agent - Property	8/10/2022
Active	Allied Insurance Company of America	793586	Agent - Casualty	8/10/2022
Active	Allied Insurance Company of America	793586	Agent - Property	8/10/2022
Active	Allied Property and Casualty Insurance Company	300279	Agent - Casualty	8/10/2022
Active	Allied Property and Casualty Insurance Company	300279	Agent - Property	8/10/2022
Inactive	American Economy Insurance Company	300315	Agent - Casualty	5/22/2020	3/29/2024
Inactive	American Economy Insurance Company	300315	Agent - Property	5/22/2020	3/29/2024
Active	Depositors Insurance Company	301634	Agent - Casualty	8/10/2022
Active	Depositors Insurance Company	301634	Agent - Property	8/10/2022
Active	Great American Alliance Insurance Company	301247	Agent - Casualty	4/5/2022
Active	Great American Alliance Insurance Company	301247	Agent - Property	4/5/2022
Active	Nationwide Agribusiness Insurance Company	301008	Agent - Casualty	8/10/2022
Active	Nationwide Agribusiness Insurance Company	301008	Agent - Property	8/10/2022
Active	Nationwide Assurance Company	300166	Agent - Casualty	8/10/2022
Active	Nationwide Assurance Company	300166	Agent - Property	8/10/2022
Active	Nationwide General Insurance Company	300603	Agent - Casualty	8/10/2022
Active	Nationwide General Insurance Company	300603	Agent - Property	8/10/2022
Active	Nationwide Insurance Company of America	300333	Agent - Casualty	8/10/2022
Active	Nationwide Insurance Company of America	300333	Agent - Property	8/10/2022
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	8/10/2022
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	8/10/2022
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	8/10/2022
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	8/10/2022
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	5/22/2020	3/29/2024
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	5/22/2020	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	5/22/2020	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	5/22/2020	3/29/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Freire, Dennis Edward	902662	Agent - Casualty	12/17/2018
Active	Freire, Dennis Edward	902662	Agent - Life	12/17/2018
Active	Freire, Dennis Edward	902662	Agent - Property	12/17/2018