DEPARTMENT OF INSURANCE
Affiliations
NameMgasurance Insurance Services, LLCDOIID1371591NAIC NPN21377469
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentCasualty11/11/2024 3/31/2028
ActiveNon ResidentAgentProperty11/11/2024 3/31/2028
ActiveNon ResidentAgentLife9/17/2025 3/31/2028
ActiveNon ResidentAgentHealth9/17/2025 3/31/2028
ActiveNon ResidentSurplus Lines BrokerNot Applicable11/11/2024 3/31/2028
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202603/31/202601/22/202601/22/2026Yes
Surplus Lines Broker01/15/202603/31/202601/22/202601/22/2026Yes
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveGreat American Insurance Company301586Agent - Casualty1/26/2026 
ActiveGreat American Insurance Company301586Agent - Property1/26/2026 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveMitilier, Jared Jay 634563Agent - Casualty11/11/2024 
ActiveMitilier, Jared Jay 634563Agent - Property11/11/2024 
ActiveMitilier, Jared Jay 634563Surplus Lines Broker - Not Applicable11/11/2024 
ActiveMitilier, Vanessa Ruiz 1413575Agent - Health9/17/2025 
ActiveMitilier, Vanessa Ruiz 1413575Agent - Life9/17/2025 

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