DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bland, Mitchell Ray	DOIID	1133485	NAIC NPN	19481570

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	5/7/2021		8/31/2024
Active	Non Resident	Agent	Casualty	5/7/2021		8/31/2024
* 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	06/15/2024	08/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/30/2022	9/15/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/30/2022	9/15/2022
Inactive	Spinnaker Insurance Company	300099	Agent - Property	5/10/2021	7/28/2022

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	3/30/2022	7/29/2022
Inactive	Hippo Analytics Inc.	990810	Agent - Property	12/16/2021	7/29/2022