DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mellars, Michael D	DOIID	1024037	NAIC NPN	7081657

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	1/2/2019		2/28/2026
Active	Non Resident	Agent	Property	1/2/2019		2/28/2026
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	1/2/2019	1/5/2023
* 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
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	3/14/2024
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	3/14/2024
Inactive	Berkley Casualty Company	300731	Agent - Casualty	4/21/2020	11/15/2021
Inactive	Berkley Casualty Company	300731	Agent - Property	4/21/2020	11/15/2021
Inactive	Blackboard Insurance Company	301640	Agent - Casualty	5/1/2019	5/1/2019
Inactive	Blackboard Insurance Company	301640	Agent - Property	5/1/2019	5/1/2019
Inactive	Carolina Casualty Insurance Company	300271	Agent - Casualty	4/21/2020	11/15/2021
Inactive	Carolina Casualty Insurance Company	300271	Agent - Property	4/21/2020	11/15/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/20/2020	12/10/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/20/2020	12/10/2021
Inactive	Key Risk Insurance Company	630687	Agent - Casualty	4/21/2020	11/15/2021
Inactive	Key Risk Insurance Company	630687	Agent - Property	4/21/2020	11/15/2021
Inactive	Midwest Employers Casualty Company	300124	Agent - Casualty	4/21/2020	11/15/2021
Inactive	Midwest Employers Casualty Company	300124	Agent - Property	4/21/2020	11/15/2021
Active	Prescient National Insurance Company	1020344	Agent - Casualty	6/17/2020
Active	Privilege Underwriters Reciprocal Exchange	769657	Agent - Casualty	6/9/2022
Active	Privilege Underwriters Reciprocal Exchange	769657	Agent - Property	6/9/2022
Inactive	StarNet Insurance Company	502746	Agent - Casualty	4/21/2020	11/15/2021
Inactive	StarNet Insurance Company	502746	Agent - Property	4/21/2020	11/15/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Legacy Risk Solutions LLC	796063	Agent - Casualty	7/7/2023
Active	Legacy Risk Solutions LLC	796063	Agent - Property	7/7/2023
Inactive	Pritchard & Jerden Inc	549848	Agent - Casualty	4/17/2020	6/1/2021
Inactive	Pritchard & Jerden Inc	549848	Agent - Property	4/17/2020	6/1/2021