DEPARTMENT OF INSURANCE

Affiliations

Name	Mondaine, Pamela A	DOIID	1026463	NAIC NPN	17330961

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	1/24/2019	12/31/2024
Active	Non Resident	Agent	Health	10/6/2020	12/31/2024
Active	Non Resident	Agent	Life	10/6/2020	12/31/2024
Active	Non Resident	Agent	Property	1/24/2019	12/31/2024
* 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	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	12/15/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	11/3/2020
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	12/15/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	11/3/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	11/3/2020
Inactive	American Continental Insurance Company	643130	Agent - Life	12/15/2020	8/11/2021
Active	American General Life Insurance Company	301585	Agent - Health	3/4/2021
Active	American General Life Insurance Company	301585	Agent - Life	3/4/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	12/15/2020
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/4/2024
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/4/2024
Inactive	Garden State Life Insurance Company	300610	Agent - Health	12/2/2020	5/19/2022
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	10/6/2021	9/16/2024
Inactive	Homesite Insurance Company	301139	Agent - Casualty	4/10/2019	1/2/2021
Inactive	Homesite Insurance Company	301139	Agent - Property	4/10/2019	1/2/2021
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	4/28/2019	1/2/2021
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Property	4/28/2019	1/2/2021
Inactive	Nationwide General Insurance Company	300603	Agent - Casualty	12/18/2019	5/25/2021
Inactive	Nationwide General Insurance Company	300603	Agent - Property	12/18/2019	5/25/2021
Inactive	Nationwide Insurance Company of America	300333	Agent - Casualty	11/18/2019	5/25/2021
Inactive	Nationwide Insurance Company of America	300333	Agent - Property	11/18/2019	5/25/2021
Active	Pioneer American Insurance Company	301268	Agent - Life	10/7/2021
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	5/18/2022
Active	Progressive Casualty Insurance Company	300696	Agent - Property	5/18/2022
Inactive	Progressive Direct Insurance Company	301379	Agent - Casualty	1/31/2019	8/31/2020
Inactive	Progressive Direct Insurance Company	301379	Agent - Property	1/31/2019	8/31/2020
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	4/19/2019	9/1/2020
Inactive	QBE Insurance Corporation	300515	Agent - Property	4/19/2019	9/1/2020
Inactive	Senior Life Insurance Company	558267	Agent - Life	11/20/2020	10/12/2021
Active	SilverScript Insurance Company	663526	Agent - Health	11/3/2020
Inactive	Spinnaker Insurance Company	300099	Agent - Casualty	3/18/2022	5/13/2022
Inactive	Spinnaker Insurance Company	300099	Agent - Property	3/18/2022	5/13/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/18/2020	2/21/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	10/18/2020	2/21/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/18/2020	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/18/2020	2/21/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hippo Analytics Inc.	990810	Agent - Casualty	3/18/2022	5/13/2022
Inactive	Hippo Analytics Inc.	990810	Agent - Property	3/18/2022	5/13/2022
Inactive	North American Advantage Insurance Services, LLC	1057060	Agent - Casualty	3/18/2022	5/13/2022
Inactive	North American Advantage Insurance Services, LLC	1057060	Agent - Property	3/18/2022	5/13/2022
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	11/6/2020	5/25/2021
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Property	11/6/2020	5/25/2021