DEPARTMENT OF INSURANCE
Affiliations
NameMervine, Robert ADOIID1096326NAIC NPN19497522
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentPersonal Lines3/22/2022 12/31/2025
InactiveNon ResidentAgentLife9/1/202012/31/2021 
InactiveNon ResidentAgentHealth9/1/202012/31/2021 
* 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
Agent10/15/202512/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAmerican Strategic Insurance Corp883540Agent - Personal Lines6/26/2024 
ActiveBristol West Insurance Company301655Agent - Personal Lines7/14/2022 
ActiveDairyland Insurance Company301370Agent - Personal Lines3/29/2024 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Personal Lines7/14/2022 
InactiveFreedom Life Insurance Company of America300074Agent - Health9/4/202012/7/2020
InactiveFreedom Life Insurance Company of America300074Agent - Life9/4/202012/7/2020
ActiveHomesite Insurance Company301139Agent - Personal Lines9/12/2022 
ActiveHomesite Insurance Company of the Midwest874850Agent - Personal Lines9/12/2022 
ActiveIntegon Indemnity Corporation300674Agent - Personal Lines6/13/2023 
ActiveLiberty Mutual Fire Insurance Company301913Agent - Personal Lines4/16/2025 
ActiveLiberty Mutual Personal Insurance Company959584Agent - Personal Lines4/17/2025 
ActivePeerless Indemnity Insurance Company571682Agent - Personal Lines7/17/2023 
ActiveProgressive Casualty Insurance Company300696Agent - Personal Lines5/4/2022 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveHelmsman Insurance Agency Llc572054Agent - Personal Lines8/22/2024 
InactiveUshealth Advisors Llc713288Agent - Life9/4/202012/7/2020
InactiveUshealth Advisors Llc713288Agent - Health9/4/202012/7/2020

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