DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Pies, Mitchell James	DOIID	1055773	NAIC NPN	5048035

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	9/11/2019		6/30/2027
Active	Non Resident	Agent	Casualty	9/11/2019		6/30/2027
* 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	04/15/2025	06/30/2025	05/08/2025	05/08/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Casualty	11/29/2023
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Property	11/29/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Leavitt Recreation & Hospitality Ins Inc	660397	Agent - Casualty	11/29/2023
Active	Leavitt Recreation & Hospitality Ins Inc	660397	Agent - Property	11/29/2023