DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mykelz, Marissa Makenzie	DOIID	1174801	NAIC NPN	19455291

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Casualty	12/1/2021		5/31/2024
Pending Replacement	Non Resident	Agent	Property	12/1/2021		5/31/2024
* 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
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	12/1/2021	9/27/2023
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	12/1/2021	9/27/2023
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	7/20/2023	12/8/2023
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	7/20/2023	12/8/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Casualty	12/14/2021	9/28/2023
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Property	12/14/2021	9/28/2023